Lyne C J, Bellinger M F
University of Pittsburgh, Children's Hospital of Pittsburgh, Pennsylvania.
J Urol. 1993 Aug;150(2 Pt 2):697-9. doi: 10.1016/s0022-5347(17)35589-1.
Seventeen patients 2.5 to 20 years old with neurovesical dysfunction (10 myelomeningocele, 2 lipomeningocele, 2 spinal cord injury, 2 primary tethered spinal cord, 1 transverse myelitis) completed a total of 41 series (605 individual sessions) of transurethral electrical bladder stimulation. Ultimately, all patients demonstrated detrusor contraction during therapy, and 88% had sensation of contractions, usually developing later in therapy. Of 12 patients with carefully documented serial urodynamic studies 8 (67%) demonstrated a measurable (14 to 158%) increase in bladder capacity but 3 subsequently had capacities near baseline. Two patients demonstrated long-term improvement in fecal continence but none had voluntary control of micturition.
17名年龄在2.5岁至20岁之间患有神经膀胱功能障碍的患者（10例脊髓脊膜膨出、2例脂肪瘤型脊髓脊膜膨出、2例脊髓损伤、2例原发性脊髓栓系、1例横贯性脊髓炎）完成了总共41个疗程（605次个体治疗）的经尿道膀胱电刺激治疗。最终，所有患者在治疗期间均表现出逼尿肌收缩，88%的患者有收缩感觉，通常在治疗后期出现。在12例有详细记录的系列尿动力学研究的患者中，8例（67%）膀胱容量有可测量的增加（增加14%至158%），但3例随后容量接近基线水平。2例患者在大便失禁方面有长期改善，但无一例能自主控制排尿。
