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不同剂量肉毒素A注射治疗神经源性逼尿肌过度反射患者的有效性

唐偲 沈宏

局解手术学杂志2016,Vol.25Issue(5):350-353,4.
局解手术学杂志2016,Vol.25Issue(5):350-353,4.DOI:10.11659/jjssx.02E016051

不同剂量肉毒素A注射治疗神经源性逼尿肌过度反射患者的有效性

Efficacy of different dose of Botulinum toxin A in treatment of patients with neurogenic detrusor overactivity

唐偲 1沈宏1

作者信息

  • 1. 四川大学华西医院泌尿外科,四川 成都610041
  • 折叠

摘要

Abstract

Objective To research the efficacy of different dose botulinum toxin A in the treatment of patients with neurogenic detrusor overactivity due to spinal cord injury or multiple sclerosis.Methods The datas of 43 patients with neurogenic detrusor overactivity caused by spinal cord injury or multiple sclerosis which accepted treatment in our hostipal were analyzed.And 38 patients were followed up for 12 weeks,of which 20 cases were treated with 200 U botulinum toxin A,and 18 cases received 100 U botulinum toxin A.The average age of 38 patients was 45.3 years old,and the ratio of famale was higher.The incontinence quality of life(I-QOL)changed from baselin after 6 weeks and 12 weeks was recorded.Resluts The final outcomes showed that the efficacy of botulinum toxin A with 200U was better than that with 100 U according to I-QOL score,and the difference was statistical significance(P <0.05).Conclusion The botulinum toxin A has positive effect on neurogenic detrusor overactivity,and the efficacy of 200 U injection is better than that of 100 U.

关键词

肉毒素A/剂量/神经源性逼尿肌过度反射/尿失禁患者生活质量

Key words

botulinum toxin A/dose/neurogenic detrusor overactivity/incontinence quality of life

分类

医药卫生

引用本文复制引用

唐偲,沈宏..不同剂量肉毒素A注射治疗神经源性逼尿肌过度反射患者的有效性[J].局解手术学杂志,2016,25(5):350-353,4.

局解手术学杂志

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