儿童群体中的骶神经调控现状与未来研究方向  

Sacral neuromodulation in the pediatric population:current status and future research directions

作　　者：李博雅 王学军[1] 杨博 毛宇[1] 覃道锐[1] 陈绍基[1] 唐耘熳[1] LI Bo-ya;WANG Xue-jun;YANG Bo;MAO Yu;QIN Dao-rui;CHEN Shao-ji;TANG Yun-man(Department of Pediatric Surgery,Sichuan Academy of Medical Sciences&Sichuan Provinvial People's Hospital(Affiliated Hospital of University of Electronic Science and Technology of China),Chengdu 610072,China)

机构地区：[1]四川省医学科学院·四川省人民医院(电子科技大学附属医院)小儿外科,四川成都610072

出　　处：《实用医院临床杂志》2025年第2期9-14,共6页Practical Journal of Clinical Medicine

基　　金：国家自然科学基金资助项目(编号:82101666)。

摘　　要：骶神经调控(sacral neuromodulation,SNM)近年来在儿童医学领域逐渐获得关注,尤其在小儿泌尿系统疾病和肠道功能障碍的治疗中展现出显著的临床效果。本文探讨了SNM的基础原理及儿童应用现状,详细阐述了其在治疗急迫性尿失禁、膀胱过度活动症、便秘等问题中的有效性。整体来说,SNM可显著缓解症状,改善儿童的生活质量,但其各类并发症发生率不低。未来的研究应着重于开发更适合儿童的SNM设备,开展大规模、随机对照的临床试验,以进一步验证其有效性和安全性,并鼓励多学科合作,提升该技术在儿童群体中的应用效果与安全性。Sacral neuromodulation(SNM)has gradually gained attention in the field of pediatric medicine in recent years.It has shown significant clinical effects,especially in the treatment of pediatric urinary system diseases and intestinal dysfunction.This article explores the foundational mechanisms of SNM and its current applications in children.Its effectiveness in the treatment of urgency urinary incontinence,overactive bladder and chronic constipation is elaborated.Overall,SNM can significantly relieve the symptoms and improve the children’s quality of life.However,the incidence of various complications is not low.Future research should focus on developing SNM devices more suitable for children and conducting large-scale,randomized controlled clinical trials to further verify its effectiveness and safety.Multidisciplinary cooperation is also encouraged to improve the effectiveness and safety of this technology in children.

关 键 词：骶神经调控 小儿外科 泌尿系统疾病 肠道功能障碍 微创治疗 

分 类 号：R69[医药卫生—泌尿科学]