骶神经根磁刺激治疗逼尿肌反射亢进和急迫性尿失禁疗效观察  

Effect of Magnetic Stimulation of Sacral Roots on Detrusor Overactivity and Urge Incontinence

作　　者：潘钰[1] 陈晓松[2] 朱琳[1] 宋为群[1] 王茂斌[1] 王昇晗[2] 韩景璐[2] 陈艳梅[2] 罗跃嘉[3] 

机构地区：[1]首都医科大学宣武医院康复医学科,北京市100053 [2]首都医科大学宣武医院泌尿外科,北京市100053 [3]北京师范大学认知神经科学与学习国家重点实验室,北京市100037

出　　处：《中国康复理论与实践》2008年第5期473-475,共3页Chinese Journal of Rehabilitation Theory and Practice

基　　金：北京市科技计划项目(Z0005187040191-1)资助项目

摘　　要：目的观察骶神经根磁刺激对脊髓疾患所致逼尿肌反射亢进和急迫性尿失禁的影响。方法采用骶神经根磁刺激治疗脊髓疾患后逼尿肌反射亢进导致急迫性尿失禁患者15例,治疗10d,应用排尿日记、生活质量评分和尿流动力学检查评定疗效。结果治疗后24h平均排尿次数减少,平均单次排尿量明显增加,平均尿失禁次数减少,生活质量提高,治疗有效率85.7%;尿流动力学检查显示,应用骶神经磁刺激后初尿意时膀胱容量增加(P<0.05),最大膀胱测压容量明显增加(P<0.01),充盈末逼尿肌压力明显降低(P<0.01)。结论骶神经根磁刺激通过抑制逼尿肌反射,增加膀胱测压容积,从而改善尿频症状,减少急迫性尿失禁,提高生活质量,是非常有应用前景的新型康复治疗技术。Objective To observe the effect of magnetic stimulation of sacral roots on detrusor overactivity and urge incontinence after spinal cord disease. Methods 15 cases with detrusor overactivity and urge incontinence after spinal cord disease were treated with magnetic stimulation of sacral roots for 10 d. Voiding diary, quality of life scale and urodynamic investigation were applied to evaluate the effect. Results The mean frequency of voiding in 24 h after treatment decreased, urine volume increased, frequency of in- continence decreased and the quality of life score improved. Urge incontinence improved in 85.7% cases. The results of urodynamic investigation showed bladder capacity at first desire to void and maximum cystometric capacity significantly increased after stimulation, while the detrusor pressure at storage decreased. Conclusion Magnetic stimulation of sacral roots can improve urinary frequency and urge incontinence of patients with detrusor overactivity after spinal cord disease by inhibiting detrusor overactivity, increasing cystometric capacity. Magnetic stimulation of sacral roots may be an alternative promising rehabilitation technique.

关 键 词：骶神经根磁刺激 逼尿肌反射亢进 急迫性尿失禁 脊髓疾患 

分 类 号：R694[医药卫生—泌尿科学]