既然2年结果都出来了，那么昏教授在回复别人负面评论时为什么不提？
伴随着‘无知，妒忌和诅咒”，肖氏手术的两年结果也出来了 (2321 bytes)
Posted by: mendel
Date: August 10, 2010 05:50AM
不用说，那些对此的两年结果心存负面评价的人：
1）属于同行之嫉妒
2）属于肘子之恶毒
3）属于蠢人之无知。
4）不存在
===================
AUA 2010 - Two-year outcomes with lumbar to sacral nerve re-routing in spina bifida - Session Highlights
Thursday, 10 June 2010
SAN FRANCISCO, CA USA (UroToday.com) - Interesting work has been ongoing in the treatment of bowel and bladder dysfunction via manipulation of the skin-spinal cord-bladder reflex arc through lumbosacral nerve re-routing (LSNR). Reported success rates have been as high as 87% in China, where the technique was pioneered. Dr. Ken Peters and colleagues reported on the first North American trial on LSNR with minimum 2-year follow- up.
Nine spina bifida patients underwent intradural LSNR via laminectomy. Follow-up included urodynamics with cutaneous dermatome stimulation, careful neurological examination, and close monitoring of bowel and bladder function and adverse events. By 24 months, the authors reported that 7/9 patients had LS nerve reflex with stimulation of the appropriate dermatome, 8/9 patients were voiding, and 5/9 were emptying >50% of their bladder volume. 8/9 were safely off of anticholinergic medications, and 50% of patients had resolution of involuntary detrusor contractions. Additionally, 50% of patients who had compromised bladder compliance as defined by 10mL/cm H20 showed marked improvement.
Renal function remained stable. Quality of life (QOL) was improved in 6/9 (66%). The one patient who described a worsening QOL was the one patient who experienced foot drop. While only one patient was continent of stool at baseline, 5/9 were continent by 24 months.
The investigators concluded that with 7/9 patients in their cohort experienced a successful outcome following LSNR, this technique remains a viable option for consideration and investigation in the future.
Presented by Kevin Feber, Damon Dyche, Benjamin Girdler, Cindy Turzewski, Gary Trock, William Natau, Evan Kass, and Kenneth Peters at the American Urological Association (AUA) Annual Meeting - May 29 - June 3, 2010 - Moscone Center, San Francisco, CA USA
Reported for UroToday by Kathleen C. Kobashi, MD, Head, Section of Urology and Renal Transplantation, Virginia Mason Medical Center, Seattle, WA, USA