用骶神经刺激作为治疗马尾末端综合点症的一种可能性.pptVIP

Sacral nerve stimulation as an option for the treatment of faecal incontinence in patients suffering from cauda（尾部） equina（马尾） syndrome（综合症）用骶神经刺激作为治疗马尾末端综合症的一种可能性 Study design: Retrospective（回顾） clinical study with 1-year follow-up. Objectives: Treatment of faecal incontinence by permanent sacral骶椎 nerve stimulation (SNS) in patients suffering from cauda equina syndrome (CES). Setting: Klosterneuburg, Austria. 研究设计：回顾临床一年期的随访研究 目标：永久骶神刺激经治疗马尾末端综合症患者的失禁问题 Background and purpose: A flaccid（微弱） paresis（局麻） of the sphincter ani muscle and the pelvic floor combined with faecal incontinence can occur in patients suffering from CES as a result of a trauma（痛苦经历） in the region of the lumbar腰部 spine脊柱. If the incontinence失禁 cannot be managed by the use of laxatives泻药 or anal tampons棉塞, the patient is restricted限制 in his/her quality of life. Thus, it was our aim to improve sphincter function and anal sensitivity to achieve voluntary自主 rectal直肠 defaecation排便. 背景和目的：患有CES的病人有受苦于其腰部脊柱区域，他们会有微弱的肛门括约肌局部麻醉和结合着失禁的盆底问题。如果失禁不能用泻药或者肛门棉塞来控制，那么他或她，病人的生活质量就会被限制。所以，我们想要提高括约肌功能和灵敏度来达到自主意识的直肠排便。 Materials and methods: The functional integrity完整性 of at least one sacral root (S2–S4) was determined through percutaneous经皮的 nerve evaluation (PNE). Following this analysis, a period of external temporary临时 SNS was performed to evaluate the functional effect. If there was a decrease in the number of episodes片段 of faecal incontinence during this evaluation period, a neurostimulation激发 device装置 (InterStim; Medtronic) was implanted植入. 材料和方面：根据经皮神经评估的方法测定至少骶椎根（S2-S4段）具有完整功能。下面的分析中，使用一段时间的外部临时骶神经刺激来评估功能效果。植入激发装置（InterStim治疗方法，美敦力公司）后，评估实验过程中失禁发生的次数是否减少。 Patients: A total of 11 patients suffering from flaccid松弛的 paresis 局麻of the anal sphincter muscle and faecal incontinence caused by CES underwent经历 PNE, which was successful in 8 patients. Two of these patients were eliminated排除 from the procedure过程 at the end of the temporary SNS period, one patient refused the permanent implantation. Therefore, five pa