骶神经调节治疗非梗阻性尿潴留的研究进展

Advances in sacral neuromodulation for the treatment of nonobstruction urinary retention

非梗阻性尿潴留在临床少见,是治疗的一大难题。非梗阻性尿潴留的治疗包括药物治疗,腹压排尿,留置尿管或间歇清洁导尿等。但有些非梗阻性尿潴留患者保守治疗无效,于是骶神经调节就成为了一种可供选择的替代疗法,由于骶神经调节是微创治疗,在国际上也越来越受到重视,关于其疗效和安全性的研究已经进行了十余年,研究表明大部分患者可以恢复满意排尿,但国内对这一技术的开展还未普及,因此需要我们进一步研究,以利于临床推广。

Nonobstruction urinary retention is a rare clinical disease which is difficult to cure. The treatment of nonobstructive urinary retention includes drug therapy, abdominal straining, indwelling catheter or intermittent catheterization. But conservative treatment is invalid in some patients with nonobstructive urinary retention. Thus, sacral neuromodulation(SNM) becomes a alternative therapy. As SNM is minimally invasive and has been paid more attention in the world, the research on the efficacy and safety of SNM has been carried out for more than ten years. The results show that most of the patients can restore satisfactory micturition, but the development of this technology has not been popularized in China. Therefore, it is necessary to do more research and make it widely used in clinical treatment. The latest research progress of this method was reviewed in this paper.