骶神经（S3）节段性神经刺激治疗逼尿肌不稳定患者的急迫性尿失禁：使用植入式神经假体进行慢性电刺激的结果
Sacral (S3) segmental nerve stimulation as a treatment for urge incontinence in patients with detrusor instability: results of chronic electrical stimulation using an implantable neural prosthesis.
作者信息
Bosch J L, Groen J
机构信息
Department of Urology, Erasmus University and Academic Hospital, Rotterdam, The Netherlands.
出版信息
J Urol. 1995 Aug;154(2 Pt 1):504-7. doi: 10.1097/00005392-199508000-00045.
PURPOSE
We studied the effects of sacral (S3) nerve stimulation in patients with urge incontinence due to detrusor instability.
MATERIALS AND METHODS
A permanent S3 foramen electrode was implanted in 18 patients (average age 46 years) who had shown a good response during temporary stimulation via a percutaneously placed wire electrode. Average followup was 29 months.
RESULTS
The average voiding frequency and pad use per 24 hours decreased significantly. Improvement in several urodynamic parameters was noted. The correlation between symptomatic and urodynamic improvement was incomplete.
CONCLUSIONS
Neuromodulation appears to be a valuable treatment option in these patients.
目的
我们研究了骶神经（S3）刺激对逼尿肌不稳定所致急迫性尿失禁患者的影响。
材料与方法
对18例患者（平均年龄46岁）植入永久性S3孔电极，这些患者在通过经皮放置的线状电极进行临时刺激期间表现出良好反应。平均随访时间为29个月。
结果
每24小时的平均排尿频率和尿垫使用量显著降低。注意到几个尿动力学参数有所改善。症状改善与尿动力学改善之间的相关性不完全。
结论
神经调节似乎是这些患者的一种有价值的治疗选择。
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