【摘要】 对 4例临床确诊为急迫性尿失禁、尿频尿急症、尿潴留、骶柱裂排尿障碍的患者先进行试验性刺激 ,得到满意的症状改善后施行骶神经刺激InterStim装置永久性植入术 ,以探讨骶神经刺激术治疗排尿功能障碍的手术方法、疗效评估、并发症及其机制。结果表明 ,试验刺激后患者排尿次数、尿量、尿失禁次数和数量、残余尿量均获得 75 %以上的改善 ,永久性植入术后上述各客观指标也获得了显著性改善 (P <0 0 5 ) ,无明显手术并发症。提示骶神经刺激是一项疗效确切、临床可行的新技术 ,它为那些对常规治疗无效的难治性排尿功能障碍者提供了一条新的治疗途径更多还原

【Abstract】 To describe the surgical methodology, effects and complications of sacral nerve stimulation (SNS), and discuss the mechanism and result of SNS for the treatment of voiding dysfunction. There were 4 patients suffering respectively from urge incontinence, frequency urgency syndromes, urinary retention and neurogenic bladder due to sacrococcygeal defect When good responses were obtained in test stimulation of the sacral nerve in all patients, the implantation of InterStim device was performed After test stimulation, all of the parameters (such as voiding frequency, voiding volume, urge incontinence, pad test, retention volume) were improved by over 75%.They were also significantly improved after the implantation ( P <0 05) It suggested that SNS is a clinically efficacious new technique, and it offers an alternative treatment for the patients with refractory voiding dysfunction更多还原