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目的观察骶神经刺激(SNS)治疗脊髓病变所致神经源性膀胱排尿功能障碍的临床效果。方法采用骶神经测试系统,经皮穿刺刺激S3神经根治疗12例因各种脊髓病变导致的神经源性膀胱排尿功能障碍患者。通过排尿日记、尿量及患者症状评分评价疗效。结果8例患者尿频、尿急症状明显改善,日排尿次数显著减少,平均排尿量增加,其中3例接受永久性SNS器植入治疗;4例患者无效。结论SNS治疗可以显著地改善部分神经源性膀胱所致膀胱排尿功能障碍,特别是能缓解患者尿频、尿急症状,但要注意适应证和病例选择。
Objective To observe the clinical effect of sacral nerve stimulation (SNS) on neurogenic bladder dysuria induced by myelopathy. Methods The sacral nerve test system was used. 12 cases of neurogenic bladder dysfunction caused by various myelopathy were treated with percutaneous puncture stimulation of S3 nerve root. Through diuresis, urine output and patient symptom score evaluation of efficacy. Results The urinary frequency and urinary urgency of 8 patients were significantly improved. The frequency of urination was significantly reduced and the average urinary output was increased. Three patients underwent permanent SNS implantation and 4 patients were ineffective. Conclusion SNS treatment can significantly improve urinary bladder dysfunction caused by some neurogenic bladder, especially relieve the frequent urination and urinary symptoms, but should pay attention to indications and case selection.