选择性骶神经切除术治疗逼尿肌不稳定所致尿失禁

Selective sacral neurectomy in the management of urinary incontinence due to detrusor instability.

作者信息

Clarke S J, Forster D M, Thomas D G

出版信息

Br J Urol. 1979 Dec;51(6):510-4. doi: 10.1111/j.1464-410x.1979.tb03590.x.

DOI:10.1111/j.1464-410x.1979.tb03590.x

Abstract

Since Torrens (1974) reported on the use of selective sacral neurectomy in the management of bladder instability, the procedure has been used increasingly in specialised centres. We report the clinical and urodynamic findings in 9 patients in whom this procedure has been performed. The results suggest that selective sacral neurectomy is a valuable procedure in a highly selected group of patients with neurogenic bladder dysfunction. Patient selection, contraindications and the choice of which sacral nerves to divide are discussed.

摘要

自托伦斯（1974年）报道采用选择性骶神经切除术治疗膀胱不稳定以来，该手术在专科中心的应用越来越广泛。我们报告了9例接受该手术患者的临床和尿动力学检查结果。结果表明，选择性骶神经切除术对于精心挑选的一组神经源性膀胱功能障碍患者是一种有价值的手术方法。本文还讨论了患者的选择、禁忌证以及切断哪些骶神经的抉择。