Combined sacral nerve stimulation for the treatment of spastic pelvic floor syndrome

doi:10.3877/cma.j.issn.2095-3224.2015.06.11

Abstract

Abstract:

Objective

To evaluate the clinical curative effect of the combined sacral nerve stimulation for the treatment of spastic pelvic floor syndrome (SPFS) in order to find the best combination.

Methods

100 cases of SPFS patients received combined sacral nerve stimulation were randomly divided into the following groups, (1) S3 electrical stimulation group (2) Non-S3 electrical stimulation group (3) Bilateral electric stimulation group (4) S3, S4 electrical stimulation group (5) S1, S3 electrical stimulation group. To Compare results of above groups and select best group.

Results

Clinical results of each stimulation group: S3, S4 electrical stimulation group>bilateral S3 stimulation group>S1, S3 electrical stimulation group>S3 electrical stimulation group>non S3 electrical stimulation group.

Conclusion

The best combination of the effect of electrical stimulation is S3, S4 electrical stimulation group.

Key words: Electric Stimulation Therapy, Treatment Outcome, Spastic pelvic floor syndrome

Kailun Liu, Zhimin Wang, zhen Zhang, Fanjuan Kong, Shuangyao Wang. Combined sacral nerve stimulation for the treatment of spastic pelvic floor syndrome[J]. Chinese Journal of Colorectal Diseases(Electronic Edition), 2015, 04(06): 623-626.

/ / Recommend

Add to citation manager EndNote|Ris|BibTeX

URL: https://zhjzcjbdzzz.cma-cmc.com.cn/EN/10.3877/cma.j.issn.2095-3224.2015.06.11

https://zhjzcjbdzzz.cma-cmc.com.cn/EN/Y2015/V04/I06/623

Figures/Tables 2

References 11

[1]	Kuijpers HC, Bleijenberg G. The spastic pelvic floor syndrome. A catlffm of constipation. Dis Colon Rectum, 1985, 28(9): 669-672.
[2]	Kuijpers HC, Bleijenherg G, de Morree H. The spastic pelvic floor syndrome. Large bowel outlet obstruction caused by pelvic floor dysfunction: a radiological study. Int J Colorectal Dis, 1986, 1(1): 44-48.
[3]	Carbognani P, Spaggiai L, Soliani P, et a1. The spastic pelvic floor syndrome: its diagnosis and treatment. Arm Ital Chir, 1992, 63(1): 69-73.
[4]	Bielefeldt K, Zamboglou N, Bender H. The spastic pelvic floor syndrome. Rofo, 1990, 152(I): 105-106.
[5]	Bleijenborg G, Kuijpem HC. Treatment of the spastic pelvic floor syndrome with biofeedback. Dis Colon Rectum, 1987, 30(2): 108-111.
[6]	Camilleri M, Bharucha AE. Behavioural and new pharmacological treatments for constipation: getting the balance right. Gut, 2010, 59(9): 1288-1296.
[7]	王志民，辛学知，段明明，等．SNS治疗盆底痉挛综合征．中华胃肠外科杂志, 2012, 27(12): 900-902.
[8]	Matzel KE, Stadelmaier U, Hohenfeliner M, et al. Electrical stimulation of sacral spinal nerves for treatment of faecal incontinence.Lancet, 1995, 346: 1124-1127.
[9]	Roberto Paolo Iachetta, Alessandra Cola, Roberto Dino Villani. Incontinence-the experience of a pelvic floor center: short term results. J Interv Gastroenterol, 2012, 2(4): 189-192.
[10]	Yasuko Maeda, Lilli Lundby, Steen Buntzen, et al. Sacral Nerve Stimulation for Constipation: Suboptimal Outcome and Adverse Events. Dis Colon Rectum, 2010, 53(7); 995-999.
[11]	中华医学会外科学分会肛肠外科学组．便秘诊治暂行标准．中华医学杂志, 2000, 80: 491-492．

评价指标		疼痛视觉模拟评分（分）	大便次数（次/天）	排便困难程度评分（分）	排便时间（min）
S3电刺激组		?	?	?	?
?	治疗前	7.6±1.1	0.8±0.3	2.2±4.5	20.3±4.5
?	治疗后	2.0±0.9	2.2±0.8	1.6±0.4	4.4±1.5
治疗前后指标差值		5.6	-1.4	0.6	15.9
?	t值	30.11	12.36	4.33	26.95
?	P值	P<0.01	P<0.01	P<0.01	P<0.01
非S3电刺激组		?	?	?	?
?	治疗前	7.6±1.1	0.8±0.3	2.2±4.5	20.3±4.5
?	治疗后	7.3±1.1	1.1±1.1	1.9±0.4	16.8±1.9
治疗前后指标差值		0.3	-0.3	0.3	3.5
?	t值	3.97	2.45	1.92	2.93
?	P值	P<0.01	P<0.01	P<0.01	P<0.01
双侧S3电刺激组		?	?	?	?
?	治疗前	7.6±1.1	0.8±0.3	2.2±4.5	20.3±4.5
?	治疗后	1.9±1.8	2.1±0.9	1.4±0.8	3.9±1.3
治疗前后指标差值		6.7	-1.3	0.5	16.4
?	t值	18.81	11.03	3.83	27.89
?	P值	P<0.01	P<0.01	P<0.01	P<0.01
S3、S4电刺激组		?	?	?	?
?	治疗前	7.6±1.1	0.8±0.3	2.2±0.8	20.3±4.7
?	治疗后	1.4±0.6	1.5±0.6	1.3±0.6	3.1±1.0
治疗前后指标差值		6.2	-0.7	0.9	17.2
?	t值	37.52	8.72	7.14	29.72
?	P值	P<0.01	P<0.01	P<0.01	P<0.01
S1、S3电刺激组		?	?	?	?
?	治疗前	7.6±1.1	0.8±0.3	2.2±4.5	20.3±4.5
?	治疗后	1.7±0.8	1.9±0.7	1.7±0.8	4.0±1.3
治疗前后指标差值		5.9	-1.1	0.5	16.3
?	t值	32.48	11.41	3.83	27.89
?	P值	P<0.01	P<0.01	P<0.01	P<0.01

评价指标		疼痛视觉模拟评分（分）	大便次数（次/天）	排便困难程度评分（分）	排便时间（min）
S3电刺激组		?	?	?	?
?	治疗前	7.6±1.1	0.8±0.3	2.2±4.5	20.3±4.5
?	治疗后	2.0±0.9	2.2±0.8	1.6±0.4	4.4±1.5
治疗前后指标差值		5.6	-1.4	0.6	15.9
?	t值	30.11	12.36	4.33	26.95
?	P值	P<0.01	P<0.01	P<0.01	P<0.01
非S3电刺激组		?	?	?	?
?	治疗前	7.6±1.1	0.8±0.3	2.2±4.5	20.3±4.5
?	治疗后	7.3±1.1	1.1±1.1	1.9±0.4	16.8±1.9
治疗前后指标差值		0.3	-0.3	0.3	3.5
?	t值	3.97	2.45	1.92	2.93
?	P值	P<0.01	P<0.01	P<0.01	P<0.01
双侧S3电刺激组		?	?	?	?
?	治疗前	7.6±1.1	0.8±0.3	2.2±4.5	20.3±4.5
?	治疗后	1.9±1.8	2.1±0.9	1.4±0.8	3.9±1.3
治疗前后指标差值		6.7	-1.3	0.5	16.4
?	t值	18.81	11.03	3.83	27.89
?	P值	P<0.01	P<0.01	P<0.01	P<0.01
S3、S4电刺激组		?	?	?	?
?	治疗前	7.6±1.1	0.8±0.3	2.2±0.8	20.3±4.7
?	治疗后	1.4±0.6	1.5±0.6	1.3±0.6	3.1±1.0
治疗前后指标差值		6.2	-0.7	0.9	17.2
?	t值	37.52	8.72	7.14	29.72
?	P值	P<0.01	P<0.01	P<0.01	P<0.01
S1、S3电刺激组		?	?	?	?
?	治疗前	7.6±1.1	0.8±0.3	2.2±4.5	20.3±4.5
?	治疗后	1.7±0.8	1.9±0.7	1.7±0.8	4.0±1.3
治疗前后指标差值		5.9	-1.1	0.5	16.3
?	t值	32.48	11.41	3.83	27.89
?	P值	P<0.01	P<0.01	P<0.01	P<0.01

[1]	Zhengwen Xu, Zhen Li, Zhenyang Hou, Changzheng Su, Biao Zhu. Platelet rich plasma combined with bone grafting for treatment of early non-traumatic osteonecrosis of femoral head [J]. Chinese Journal of Joint Surgery(Electronic Edition), 2023, 17(06): 773-779.
[2]	Hongyu Wang. Application value of fixed and mobile platform prostheses in total knee arthroplasty [J]. Chinese Journal of Joint Surgery(Electronic Edition), 2023, 17(06): 871-876.
[3]	Shanwu Li, Yongjie Ye, Bing Wang, Ziyi Wang, Yi Yin, Guanjun Sun, Dagang Zhang. Early efficacy comparison of open wedge high tibial osteotomy and unicompartmental knee arthroplasty [J]. Chinese Journal of Joint Surgery(Electronic Edition), 2023, 17(06): 882-888.
[4]	Zeyong Wang, Jian Qin. Effect of white blood cell content on platelet-rich plasma treatment of motor system injuries [J]. Chinese Journal of Joint Surgery(Electronic Edition), 2023, 17(05): 684-688.
[5]	Zhaolong Yan, Zhenbin Zhang, Guangxing Li, Zhang Zhao, Yeyong Zhang, Luxu Yin, Shufeng Li. Early results and influencing factors of high tibial osteotomy in treatment of knee osteoarthritis [J]. Chinese Journal of Joint Surgery(Electronic Edition), 2023, 17(04): 492-499.
[6]	Cong Wu, Lun Liu, Quanzhong Jia. Short-term efficacy and influencing factors of primary total hip arthroplasty in elderly femoral neck fracture [J]. Chinese Journal of Joint Surgery(Electronic Edition), 2023, 17(02): 283-287.
[7]	Haitao Zhang, Chanjuan Kang, Jingjie Zhai. Effect of pancreatic duct stent implantation in the treatment of acute biliary pancreatitis [J]. Chinese Journal of Operative Procedures of General Surgery(Electronic Edition), 2023, 17(06): 654-657.
[8]	Yao Chen, Boqun Xu, Zhihui Gao. Efficacy and safety of modified intermediate upper approach radical resection in the treatment of thyroid cancer [J]. Chinese Journal of Operative Procedures of General Surgery(Electronic Edition), 2023, 17(06): 619-622.
[9]	Xiong Li, Yongkuan Cao. Clinical study of ISR with different distal incisal margin distances after neoadjuvant therapy for locally advanced rectal [J]. Chinese Journal of Operative Procedures of General Surgery(Electronic Edition), 2023, 17(04): 443-446.
[10]	Shusen Feng, Dongcheng Zhang, Qi Guo, Haolu Zhang, Kuo Chen. Clinical effect of laparoscopic appendectomy on acute appendicitis and its influence on inflammatory factors [J]. Chinese Journal of Operative Procedures of General Surgery(Electronic Edition), 2023, 17(04): 447-450.
[11]	Xiaopei Bu, Bing Liu, Jianghua Zhang, Chen Zhao, Jinjiang Zhang, Peizhong Shang. Hysterorectal fistula：a case report [J]. Chinese Journal of Operative Procedures of General Surgery(Electronic Edition), 2023, 17(04): 469-470.
[12]	Kai Xia, Renyuan Gao, Xiaocai Wu, Yu Ruan, Jing Sun, Mingxia Yu, Lu Yin, Chunqiu Chen. Laparoscopic subtotal resection of the colon combined with modified Duhamel for the treatment of adult Hirschsprung’s disease：report of 25 cases [J]. Chinese Journal of Operative Procedures of General Surgery(Electronic Edition), 2023, 17(01): 91-94.
[13]	Fengjie Wang, Liguang Wang, Shan Liao, Ying Liu, Rongdang Fu, Huanwei Chen. Safety and efficacy of laparoscopic right hemihepatectomy for hepatocellular carcinoma [J]. Chinese Journal of Hepatic Surgery(Electronic Edition), 2023, 12(05): 517-522.
[14]	Shilong Guo, Xiao Yang, Huanhuan Hu, Liang Yang, Wenfu Zhou, Kuiwu Cong, Yusheng Zhang, Yingfeng Li. Efficacy and safety of ERCP in minimally invasive treatment for biliary and pancreatic diseases [J]. Chinese Journal of Hepatic Surgery(Electronic Edition), 2023, 12(02): 216-220.
[15]	Qingjin Zeng, Liwen Zhao, Yuxuan Wu, Xuqi He, Lanxia Zhang, Xuan Yu, Na He, Rongqin Zheng, Kai Li. Clinical efficacy of ultrasound-guided percutaneous thermal ablation for malignant liver tumors adjacent to the heart [J]. Chinese Journal of Hepatic Surgery(Electronic Edition), 2023, 12(01): 49-54.

Please choose a citation manager

Content to export