Sacral neuromodulation in patients with congenital faecal incontinence. Special issues and review of the literature
Sacral neuromodulation in patients with congenital faecal incontinence. Special issues and review of the literature
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DOI：
10.1007/s10151-017-1742-5
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发表时间：
2018-01
影响因子：
3.3
通讯作者：
Lagares ‐ Tena;Millán ‐ Paredes;Lázaro ‐ García;Navarro ‐ Luna;Delgado ‐ Rivilla;Muñoz ‐ Duyos
中科院分区：
文献类型：
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作者：
Lagares ‐ Tena;Millán ‐ Paredes;Lázaro ‐ García;Navarro ‐ Luna;Delgado ‐ Rivilla;Muñoz ‐ Duyos
BackgroundThe本研究的目的是评估骶神经调节（SNM）作为治疗先天性大便失禁（FI）的有效性。MethodsA回顾性研究对2005年10月至2013年6月在我们机构接受SNM手术的先天性FI患者进行。进行初步的经皮神经评估，并在他们的症状改善超过50%的患者有永久性植入物SNM treatment.ResultsThere有4例患者接受永久性植入物。平均随访时间为67.5个月（范围45-135个月）。在最后一次随访中，2例患者保持显着改善SNM，1个是4年的治疗后，由于感染，但仍然无症状和SNM失败，其余患者谁去graciloplasty.ConclusionsSNM可能是有价值的治疗肛门直肠畸形患者FI。
BackgroundThe aim of the present study was to evaluate the effectiveness of sacral neuromodulation (SNM) as a treatment for congenital faecal incontinence (FI).MethodsA retrospective study was conducted on patients with congenital FI who had SNM surgery at our institution between October 2005 and June 2013. An initial percutaneous nerve evaluation was performed, and patients with an improvement of more than 50% in their symptoms had permanently implants for SNM treatment.ResultsThere were 4 patients who received a permanent implant. Mean duration of follow-up was 67.5 months (range 45–135 months). At last follow-up, 2 patients maintained significant improvement with SNM, 1 was explanted after 4 years of treatment due to infection but remained asymptomatic and SNM failed in the remaining patient who went on to graciloplasty.ConclusionsSNM may be of value for treating FI in patients with anorectal malformations.