重复经颅磁刺激治疗神经源性膀胱的临床研究进展

马黎倩1 ,余燕岚2 ,龚鹏3 ,刘渊3 ,林咸明1,3

神经损伤与功能重建 ›› 2026, Vol. 21 ›› Issue (4) : 238-241.

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神经损伤与功能重建 ›› 2026, Vol. 21 ›› Issue (4) : 238-241. DOI: 10.16780/j.cnki.sjssgncj.20251254
综述

重复经颅磁刺激治疗神经源性膀胱的临床研究进展

  • 马黎倩1 ,余燕岚2 ,龚鹏3 ,刘渊3 ,林咸明1,3
作者信息 +

Clinical Research Progress of Repetitive Transcranial Magnetic Stimulation in the Treatment of Neurogenic Bladder

  • MA Liqian1 ,YU Yanlan2 ,GONG Peng3 ,LIU Yuan3 ,LIN Xianming1,3
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文章历史 +

摘要

神经源性膀胱(neurogenic bladder,NB)病因复杂多样,影响广泛。现有治疗方法虽多,但效果各异, 且存在诸多局限。重复经颅磁刺激(repetitive transcranial magnetic stimulation,rTMS)作为一种非侵入性神 经调控技术,近年来在NB治疗中展现出潜力,然而治疗方案尚未统一,缺乏标准共识。本文综述rTMS在 NB中的应用,讨论了rTMS参数的选择、与rTMS联合运用治疗NB的手段,我们发现rTMS治疗NB的干预 时间与时程尚未明确,但其治疗时效有一定进展,最后总结目前rTMS治疗NB需进一步验证机制、确定治 疗方案、扩大研究规模。本综述旨在为NB治疗提供新的临床思路,以期探索更高效的治疗方法。

Abstract

Neurogenic bladder (NB) has complex and diverse etiologies, with a wide range of impacts. Although there are numerous existing treatment methods, their effects vary, and they are subject to many limitations. Repetitive transcranial magnetic stimulation (rTMS), as a non-invasive neuromodulation technique, has demonstrated potential in the treatment of NB in recent years. However, the treatment protocol has not yet been unified, and a standard consensus is lacking. This review summarizes the application of rTMS in NB, discussing the selection of rTMS parameters and the combined treatment approaches with rTMS for NB. We found that the intervention timing and duration of rTMS treatment for NB remain unclear, but there has been some progress regarding its therapeutic time-effectiveness. Finally, it is concluded that further verification of the mechanisms, determination of treatment protocols, and expansion of research scale are required for rTMS in the treatment of NB at present. This review aims to provide new clinical ideas for the treatment of NB, with the expectation of exploring more efficient therapeutic methods.

关键词

重复经颅磁刺激;神经源性膀胱;排尿障碍;研究进展

Key words

repetitive transcranial magnetic stimulation;neurogenic bladder;voiding dysfunction;research progress

引用本文

导出引用
马黎倩1 ,余燕岚2 ,龚鹏3 ,刘渊3 ,林咸明1,3. 重复经颅磁刺激治疗神经源性膀胱的临床研究进展[J]. 神经损伤与功能重建. 2026, 21(4): 238-241 https://doi.org/10.16780/j.cnki.sjssgncj.20251254
MA Liqian1 ,YU Yanlan2 ,GONG Peng3 ,LIU Yuan3 ,LIN Xianming1,3. Clinical Research Progress of Repetitive Transcranial Magnetic Stimulation in the Treatment of Neurogenic Bladder[J]. Neural Injury and Functional Reconstruction. 2026, 21(4): 238-241 https://doi.org/10.16780/j.cnki.sjssgncj.20251254

基金

2021年度浙江省卫 生 领 军 人 才 项 目 (浙卫办〔2021〕40 号);2024年中西医 协同创新基金项目 (电针预测骶神经 调控术疗效的临床 研究,No. ZS24XT CX03)

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