在专家眼里Beaumount的9例其实是首次挑战老肖那85%成功率的


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送交者: limitations 于 2010-09-26, 13:56:54:

撇开Beaumount自己报告之不严谨不说,其结果其实是让业内专家质疑老肖报告的85%成功率的。

The Journal of Urology 184:417-418 2010,

“Finally, in this issue of The Journal the results of the study by Peters et al (page 702) are the first to challenge the excellent, previously published results of nerve rerouting that showed up to 85% success.8 Despite proof that nerve rerouting can create a novel reflex arc generating a detrusor contraction, this group learned that after 1 year no patient became continent and only 2 of 9 were able to stop catheterization. Effects on bladder compliance and cystometric bladder capacity were remarkable despite stopping antimuscarinic treatment. Persistent foot drop cannot be considered a minor complication in children who are already motor disabled. Although promising, this study cautions us that further controlled studies are needed before this nerve rerouting procedure can be used more routinely.”

8:C.G. Xiao, Reinnervation for neurogenic bladder: historic review and introduction of a somatic-autonomic reflex pathway procedure for patients with spinal cord injury or spina bifida, Eur Urol 49 (2006)




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