Torrens M J, Griffith H B
J Neurosurg. 1976 Feb;44(2):176-85. doi: 10.3171/jns.1976.44.2.0176.
The authors report the treatment of incontinence due to uninhibited bladder contractions by selective sacral neurectomy in nine patients, four without evidence of neurological disease. A detailed and objective analysis of bladder and urethral function, together with quantitation of clinical features, was made before and after operation. Seven patients were either cured or greatly improved. The overall increase in bladder capacity and reduction of uninhibited activity were statistically significant. The resting urethral sphincter pressure was unchanged, but the contractility of the voluntary external sphincter was slightly impaired. Criteria for such neurectomies are discussed.
作者报告了9例因膀胱无抑制性收缩所致尿失禁患者接受选择性骶神经切除术的治疗情况，其中4例无神经疾病证据。在手术前后对膀胱和尿道功能进行了详细而客观的分析，并对临床特征进行了量化。7例患者治愈或有显著改善。膀胱容量的总体增加和无抑制性活动的减少具有统计学意义。静息尿道括约肌压力未变，但随意性外括约肌的收缩力略有受损。文中讨论了此类神经切除术的标准。
