【原】【晨读】骶神经调控中应用标准化透视引导植入技术可获得理想的电极位置：一项尸体研究（八）

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本次文献选自Müller C, Reissig LF, Argeny S, et al. Standardized fluoroscopy-guided implantation technique enables optimal electrode placement in sacral neuromodulation: a cadaver study. Tech Coloproctol. 2021;25(2):215-221. 本次学习由王珺楠副主任医师主讲。

The limitations of our study need to be addressed. Weevaluated only one technique of SNM lead placement without conducting a comparison to other surgical techniques.Although a variety of diferent approaches have been published, to date no approach appears to be superior to theothers. Thus, we focused on a novel technique, which wasrecently recommended by a group of experts. In clinicalpractice, motor or sensory feedback during stimulation isalso essential for fnding the correct lead position. Notably, response is also dependent on a close contact to sacralnerves. The main aim of our study was to evaluate the leadposition in relation to the sacral nerves by using x-ray imaging. As we conducted a cadaver study, we cannot draw anyconclusions regarding functional outcome.

我们研究的局限性需要进一步解决。我们只评估了一种SNM电极放置技术，没有与其他手术技术进行比较。虽然已经发表的技术方法各种不同，但迄今为止似乎没有一种方法优于其他方法。因此，我们关注一种新的技术，是最近由一组专家推荐的。在临床操作中，刺激过程中的运动或感觉反馈对于找到正确的电极位置也是至关重要的。值得注意的是，良好的反应也依赖于电极与骶神经的密切接触。本研究的主要目的是通过X线影像评估电极与骶神经的位置关系。由于我们进行是尸体研究，我们不能得出任何关于功能结果的结论。

Conclusions

A standardized fuoroscopy-guided implantation techniqueenables a close contact between electrode and nerve. It isanticipated that this novel insertion technique will result inan improved clinical outcome.

结论

标准化影像引导植入技术能够使电极与神经之间紧密接触。预计这种新的穿刺技术将带来更好的临床效果。