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电子膀胱刺激在脊髓脊膜膨出患儿管理中的应用

Electronic bladder stimulation in the management of children with myelomeningocele.

作者信息

Wheatley J K, Woodard J R, Parrott T S

出版信息

J Urol. 1982 Feb;127(2):283-5. doi: 10.1016/s0022-5347(17)53744-1.

Abstract

Mentor electronic bladder stimulators were implanted in 8 children with myelomeningocele who were being managed successfully with intermittent catheterization. Satisfactory clinical performance was obtained in only 3 of these children. In the 5 failures urine flow was sporadic and unreliable. In 6 patients electrode lead wires broke where they entered the anterior abdominal fascia. None of the 8 units functioned more than 29 months. Many technical problems must be resolved before bladder stimulators will have a significant role in the management of children with myelomeningocele.

摘要

在8名患有脊髓脊膜膨出且通过间歇性导尿成功进行治疗的儿童体内植入了Mentor电子膀胱刺激器。这些儿童中只有3名取得了令人满意的临床效果。在5例失败病例中,尿流断断续续且不可靠。6例患者的电极导线在进入前腹壁筋膜处发生断裂。8个装置中没有一个的使用时间超过29个月。在膀胱刺激器能在脊髓脊膜膨出患儿的治疗中发挥重要作用之前,必须解决许多技术问题。

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