同行指责反射弧会消失?
我看到的是恰好相反,同行们看到在肖氏反射弧建立以后,原本失效的排尿的反射弧又重新建立了起来,这其中的机制是什么,人们正试图进行研究。
你给的链接,我确实只看到最后一段,我丝毫没有看到所谓的针对对麦芒,也没有看到你的这个链接与你前面贴出的ppt 文件之间的链接关系---即没有找到在你的这个链接中如何导向你给出的ppt文件的链接,你的PPT文件依然没有排除伪造嫌疑
Nerve Rerouting Procedure Update (Kenneth Peters, MD; Gerald Tuite, MD):This important research session examined the current study activities and outcomes on an investigational procedure that reroutes the functional lumbar motor-neurons to innervate the lower urinary tract. This nerve rerouting procedure, commonly known as the “Xiao procedure,” was discussed along with possible implications for future standards of practice and treatment.
这就是你说的最后一段的所谓针尖对麦芒,针尖在哪里,麦芒在哪里?
在Xiao Procedure Jeffrey P. Blount, MD, and Gerald Tuite, MD中,注意这篇文章的作者之一就是TUITE
其中也提到了peters的实验,注意不是反驳的语气
A total of nine patients were operated upon and their outcomes were reviewed with up to a three-year follow-up. Dr. Peters reported that two patients are no longer requiring catheterization and that seven of nine patients have some measureable return of reflex. Bowel function improved more quickly and more extensively than bladder function. Eight-to-nine patients had bilateral leg weakness initially, yet their weakness improved back to baseline such that only one patient has residual weakness. One patient has foot drop.
下面一段提到了包括tuite在内的很多个MD也到了中国,跟肖传国学习了肖氏手术,并且在进行规范实验的准备工作
n addition to the Beaumont group, several groups in North America have learned the procedure and prepared a protocol for treatment. These include groups in Tampa, Fla., led by Gerald Tuite, MD, and in Atlanta, Ga., led by urologist Edwin Smith. Dr. Tuite also traveled to China to learn the surgical technique directly from Dr. Xiao. Immediately before the meeting Dr. Tuite invited Dr. Xiao to Tampa, and eight children were treated under the direction of both surgeons. Dr. Tuite’s partners and Tae Sung Park, MD, from Washington University/St. Louis Children’s Hospital also observed or participated in the surgeries. The Atlanta group has approved a protocol and has institutional review board approval, but it has not yet operated upon any patients.
接下来的一段的最后一句说明了为什么要暂停更多的手术
The Beaumont, Atlanta and Tampa groups all agreed to halt further surgery until a unified neurosurgery/urology research design could be developed.
说得很清楚,需要一个联合研究的设计。而不是因为肖氏手术无效。