Vaucher Julien, Cerantola Yannick, Hübner Martin, Givel Jean-Claude, Demartines Nicolas
Service de chirurgie viscérale, CHUV, 1005 Lausanne.
Rev Med Suisse. 2007 Jun 27;3(117):1643-6.
Sacral nerve stimulation (SNS) became recently an essential therapeutic modality in the treatment of anal incontinence. Indications range from anorectal functional disorders to limited sphincteric lesions. An electrode is inserted through a sacral foramen, generally S3, to stimulate the corresponding nerve root. Patient's selection needs a meticulous multidisciplinary approach. Improved continence of more than 50% is frequently encountered and quality of life is significantly improved after implantation. SNS is a minimal-invasive technique, with very few risks of complications.
骶神经刺激(SNS)最近成为治疗肛门失禁的一种重要治疗方式。其适应症范围从肛肠功能障碍到有限的括约肌损伤。通过骶孔(通常为S3)插入电极以刺激相应的神经根。患者的选择需要细致的多学科方法。植入后经常会出现超过50%的控便能力改善,生活质量也会显著提高。SNS是一种微创技术,并发症风险极低。