先天性腰骶部脊椎裂引起尿便失禁是一种极为痛苦的疾病,目前对它的治疗还是一个难题。从1970年开始,我们试用针刺治疗,计500例,有效率为87.4%,不但临床主要症状有了改善,而且膀胱残余尿量减少,尿流速和每次尿量均有增加,提示针刺治疗可以改善膀胱的排空能力和排尿功能。对234例出院时有效的病人,进行了1~9年的随访,疗效巩固者91例,占38.9%。在针刺治疗中,亦可按适应症配合手术治疗,对合并的尿路感染要配合药物治疗,并应注意功能训练,这些对巩固和提高针刺疗效均有一定作用。
Urinary and fecal incontinence caused by congenital lumbosacral spina bifida is an annoying condition which is still very di- fficult to treat even now. Since 1970,500 cases were treated with acupuncture with an effective rate of 87.4%. Not only there was improvement in the clinical symptoms,but also the residual urine volume was decreased.Besides the amount of each voiding was increased and the patient micturate more rapidly.These suggested that there was a certain improvement in empty- ing ability and urinating function of the bladder following acupuncture therapy. 234 cases with definite improvement when discharged were followed up for 1~9 years.The therapeutic effect had been per- sisting in 91 cases(38.9%). When indicated acupuncture therapy should be combined with surgical treatment. When the patients were complicated with urinary tract infection antibacterial and Chinese herbal drug should be given.Suffi- cient attention should be paid to the func- tional exercises of urination and defecation during the course of treatment,which will promote and consolidate the overall therapeu- tic effects.