摘要: |
目的: 评价骶神经刺激术(sacral nerve stimulation,SNS)对无括肌缺陷大便失禁(fecal incontinence,FI)患者的治疗效果。方法: 选择无括约肌功能缺陷的2例FI患者,进行为期2周的骶神经刺激测试治疗(peripheral nerve evaluation,PNE;SNS的体外体验治疗)。测试过程中记录排便情况,每周FI次数减少≥ 50%时为治疗有效;同时进行克利夫兰FI评分表(CCF-FIS)及FI生活质量(FIQL)评分。结果: 2例FI患者在测试期结束时每周FI次数均减少≥ 50%;排便急迫时控便时间由<1 min延长为1~5 min。2例患者的CCF-FIS评分分别由治疗前的15、16分降至治疗后的3、3分。2例患者治疗后FIQL明显改善。2例患者均永久植入骶神经刺激器。结论: SNS在短期内能安全、有效地改善无括约肌缺陷FI患者的临床症状,提高其生活质量。 |
关键词: 大便失禁 骶神经刺激 生活质量 |
DOI:10.12025/j.issn.1008-6358.2020.20192189 |
分类号:R574.4 |
基金项目: |
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Short-term efficacy of sacral nerve stimulation for functional fecal incontinence: a pilot study |
YE Guang-yao1, ZHANG Cheng1, CUI Zhe2
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1.Department of Gastrointestinal Surgery, Renji Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai 200001, China;2.Department of General Surgery, Baoshan Branch of Renji Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai 200436, China
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Abstract: |
Objective: To assess therapeutic efficacy of sacral nerve stimulation (SNS) for patients with fecal incontinence (FI) without sphincter function defect. Methods: The screening stimulation of 2 weeks was performed in two FI patients without sphincter function defect. The defecation was recorded during the test, and it was effective when FI time reduce ≥ 50% in a week. Cleveland Clinic Florida fecal incontinence score (CCF-FIS) and FI quality of life score (FIQL) were evaluated. Results: At the end of screening, the FI times of 2 patients reduced more than 50%. Urgent defecation control time increased from <1 min to 1-5 min. CCF-FIS score of 2 patients decreased from 15, 16 to 3, 3, respectively. FIQL scale also got a significant improvement. The stimulator was implanted in 2 patients. Conclusions: SNS is safe and effective in FI patients without sphincter defect in short term, and could improve the life quality of the patients. |
Key words: fecal incontinence sacral nerve stimulation quality of life |