方舟子新的造谣:“神经外科专家们反对肖氏手术”。# WaterWorld - 未名水世界
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http://www.weibo.com/fangzhouzi
杜克大学Wiener医生在2010年6月的脊柱裂协会的讲座中透露神经外科专家们反对肖氏
手术:“他(肖传国)的手术是一种(传统手术)脊髓栓系松解术”。他还透露:美国
出资机构担心手术可能伤害患者而搁置资助项目(http://t.cn/zObdelr )。该临床试验项目迄今未开始招募患者(http://t.cn/hd0kLB )
事实是:
Slide 3 of 29:
What is the Xiao procedure?
Nerve transfer between muscles is not new idea
Nerve transfer between somatic and autonomic nervous system is new
Give voluntary nervous system control over involuntary nervous system
方舟子只选择性地提了第一句,忽略了后面一句。
Slide 9 &10:
What are Dr. Xiao’s Results?
Presented at special workshop following SBA’s First World Congress on Spina
Bifida
March 18-19, 2009 in Orlando
Over 100 pediatric urologists and neurosurgeons from around the world
attended
His results in over 1500 patients
951 cases in 2008 alone
1320 patients with spina bifida
Follow-up on 431
86.2% void spontaneously without cath/med
All gained sensation to void
Many no longer have to scratch leg
Bowel function is normal in 77% (of 26)
Complications
Foot drop – can be treated by shoe or surgery
Slide 13, Dr. Peters的九例手术,到2010年已经有四个不需要导尿管了:
Results – 9 patients with 3 yr F/U
7/9 demonstrate voiding reflex at 12 months
Now only 2/9 – down-regulation by brain?
4/9 report improvement in bladder function
5/9 report improvement in bowel function
7/9 still required catheters at 12 months
Now only 4/9 require catheters
Only 1/9 still on medication (anticholinergic)
Bladder compliance overall improved
Incontinence “remains a problem”
Slide 28 &29:Weiner提到NIH funding "on hold"的两个原因,方舟子选择性地忽略
了第二条。Weiner还提出来如何克服经费不足的方法,比如Lobby NIH,及其他操作上
的改进。通观全文,Weiner对Xiao’s Procedure总体至少不是“否定”的。在方舟子
眼里居然成了“神经外科专家们反对肖氏手术”了。
NIH funding now “on hold”
New Director of NIDDK
Concerned about potential harm
SBA cannot fund a study of this magnitude
Can only offer organizational support
Where do go from here?
Lobby NIH to fund study
Prevent backdoor entry
Make study international
Advance the science
Properly-conducted studies
Minimize procedures off protocols
DO NO HARM!
内容与链接来自下面这个帖子:
[回复] [回信给作者] [本篇全文] [本讨论区] [修改] [删除] [转寄] [转贴] [收藏] [举报] 0 0
[ 1 ]
发信人: dade (leno), 信区: WaterWorld
标 题: 学术论文:骗钱害人的肖传国手术
发信站: BBS 未名空间站 (Mon Feb 27 11:05:30 2012, 美东)
http://www.weibo.com/fangzhouzi
杜克大学Wiener医生在2010年6月的脊柱裂协会的讲座中透露神经外科专家们反对肖氏
手术:“他(肖传国)的手术是一种(传统手术)脊髓栓系松解术”。他还透露:美国
出资机构担心手术可能伤害患者而搁置资助项目(http://t.cn/zObdelr )。该临床试验项目迄今未开始招募患者(http://t.cn/hd0kLB )
http://conference.spinabifidaassociation.org/site/c.qkI1KgMTIrF
http://clinicaltrials.gov/ct2/show/study/NCT01096459
德国泌尿学专家Thuroff医生2011年1月在《欧洲泌尿学》撰文分析美国肖氏手术试验结
果,从神经解剖学理论出发,否定肖氏手术原理、剖析手术后果,认为:(部分)患者
的有限改善实际上是传统手术单侧神经切断术的效果,且不及传统手术;手术会造成下
肢障碍甚至肌肉永久瘫痪。论文见:http://t.cn/heRYJg
http://www.europeanurology.com/article/S0302-2838%2810%2900954-
杜克大学Wiener医生在2010年6月的脊柱裂协会的讲座中透露神经外科专家们反对肖氏
手术:“他(肖传国)的手术是一种(传统手术)脊髓栓系松解术”。他还透露:美国
出资机构担心手术可能伤害患者而搁置资助项目(http://t.cn/zObdelr )。该临床试验项目迄今未开始招募患者(http://t.cn/hd0kLB )
事实是:
Slide 3 of 29:
What is the Xiao procedure?
Nerve transfer between muscles is not new idea
Nerve transfer between somatic and autonomic nervous system is new
Give voluntary nervous system control over involuntary nervous system
方舟子只选择性地提了第一句,忽略了后面一句。
Slide 9 &10:
What are Dr. Xiao’s Results?
Presented at special workshop following SBA’s First World Congress on Spina
Bifida
March 18-19, 2009 in Orlando
Over 100 pediatric urologists and neurosurgeons from around the world
attended
His results in over 1500 patients
951 cases in 2008 alone
1320 patients with spina bifida
Follow-up on 431
86.2% void spontaneously without cath/med
All gained sensation to void
Many no longer have to scratch leg
Bowel function is normal in 77% (of 26)
Complications
Foot drop – can be treated by shoe or surgery
Slide 13, Dr. Peters的九例手术,到2010年已经有四个不需要导尿管了:
Results – 9 patients with 3 yr F/U
7/9 demonstrate voiding reflex at 12 months
Now only 2/9 – down-regulation by brain?
4/9 report improvement in bladder function
5/9 report improvement in bowel function
7/9 still required catheters at 12 months
Now only 4/9 require catheters
Only 1/9 still on medication (anticholinergic)
Bladder compliance overall improved
Incontinence “remains a problem”
Slide 28 &29:Weiner提到NIH funding "on hold"的两个原因,方舟子选择性地忽略
了第二条。Weiner还提出来如何克服经费不足的方法,比如Lobby NIH,及其他操作上
的改进。通观全文,Weiner对Xiao’s Procedure总体至少不是“否定”的。在方舟子
眼里居然成了“神经外科专家们反对肖氏手术”了。
NIH funding now “on hold”
New Director of NIDDK
Concerned about potential harm
SBA cannot fund a study of this magnitude
Can only offer organizational support
Where do go from here?
Lobby NIH to fund study
Prevent backdoor entry
Make study international
Advance the science
Properly-conducted studies
Minimize procedures off protocols
DO NO HARM!
内容与链接来自下面这个帖子:
[回复] [回信给作者] [本篇全文] [本讨论区] [修改] [删除] [转寄] [转贴] [收藏] [举报] 0 0
[ 1 ]
发信人: dade (leno), 信区: WaterWorld
标 题: 学术论文:骗钱害人的肖传国手术
发信站: BBS 未名空间站 (Mon Feb 27 11:05:30 2012, 美东)
http://www.weibo.com/fangzhouzi
杜克大学Wiener医生在2010年6月的脊柱裂协会的讲座中透露神经外科专家们反对肖氏
手术:“他(肖传国)的手术是一种(传统手术)脊髓栓系松解术”。他还透露:美国
出资机构担心手术可能伤害患者而搁置资助项目(http://t.cn/zObdelr )。该临床试验项目迄今未开始招募患者(http://t.cn/hd0kLB )
http://conference.spinabifidaassociation.org/site/c.qkI1KgMTIrF
http://clinicaltrials.gov/ct2/show/study/NCT01096459
德国泌尿学专家Thuroff医生2011年1月在《欧洲泌尿学》撰文分析美国肖氏手术试验结
果,从神经解剖学理论出发,否定肖氏手术原理、剖析手术后果,认为:(部分)患者
的有限改善实际上是传统手术单侧神经切断术的效果,且不及传统手术;手术会造成下
肢障碍甚至肌肉永久瘫痪。论文见:http://t.cn/heRYJg
http://www.europeanurology.com/article/S0302-2838%2810%2900954-