选择性骶神经前根切断术治疗脊髓损伤后痉挛性膀胱的初步报告

The treatment of spastic bladder after spinal cord injury by differential sacral nerve anterior rhizotomy:a primary report

目的：研究治疗脊髓损伤后痉挛性膀胱的新手术方法。方法：利用骶神经根及骶丛神经相互间代偿的原理，设计了选择性骶神经前根切断术，治疗脊髓损伤后痉挛性膀胱。结果：术后患者膀胱痉挛明显缓解，膀胱贮尿及排尿功能得到明显改善，６个月后随访患者膀胱功能已达到或接近正常水平。结论：选择性骶神经前根切断术治疗脊髓损伤后痉挛性膀胱近期疗效显著。

Objective : To study a new method for treatment of spastic bladder after spinal cord injury. Methods: By utilizing the characteristics of sacral plexus root and its physiological anatomy, a new way called differential sacral nerve anterior rhizotomy was designed to treat spastic bladder after spinal cord injury. Results: The spasticity of bladder was reduced and the storage and evacuation function of bladder was improved significantly. The bladder function became normal in the followup investigation after 6 months. Conclusion: Differential sacral nerve anterior rhizotormy is an effective method to treat spastic bladder after spinal cord injury.