http://www.xys.org/xys/ebooks/others/science/dajia10/xiaochuanguo55.txt将麻雀添的风计入，当时的统计是27%。
国内外专家已经指出，这是解栓、神经切断的效果，而不是“肖氏手术”的。
区别是，效果更差，切断了下肢神经导致后遗症严重，神源不向患者提供术后理疗导致后遗症更加严重。
文献
Dr. Eric Kurzrock在编辑评论中提供
http://www.ncbi.nlm.nih.gov/pubmed/3359125
[1]. Lucas MG, Thomas DG, Clarke S et al: Long-term follow-up of selective sacral neurectomy. Br J Urol 1988; 61: 218.
Thirteen of the 22 patients had significant symptomatic improvement lasting for more than 4 years post-operatively (59%), 8 of whom had stable bladders.
http://www.ncbi.nlm.nih.gov/pubmed/11445474
[2]. Hohenfellner M, Pannek J, Botel U et al: Sacral bladder denervation for treatment of detrusor hyperreflexia and autonomic dysreflexia. Urology 2001; 58: 28.
Detrusor hyperreflexia and autonomic dysreflexia were eliminated in all cases. ...
文献
google scholar搜索结果头两条
http://scholar.google.com/scholar?hl=en&q=detethering+bladder+control
[3] von Koch CS, Quinones-Hinojosa A, Gulati M, Lyon R, Peacock WJ, Yingling CD. Clinical outcome in children undergoing tethered cord release utilizing intraoperative neurophysiological monitoring. Pediatr Neurosurg. 2002 Aug;37(2):81-6.
25名患者中的4名，大小便显著改善。（Significant bowel and bladder improvement was seen in 4 out of 25 patients）
[4] Hsieh MH, Perry V, Gupta N, Pearson C, Nguyen HT. The effects of detethering on the urodynamics profile in children with a tethered cord. J Neurosurg. 2006 Nov;105(5 Suppl):391-5.
10名术前尿动力学结果异常的患者中的5名，术后尿动力学研究表现出改善或正常的尿动力学数据（in five (50%) of the 10 children with abnormal preoperative UDS results, the postoperative UDS demonstrated improved or normal urodynamics.）
解栓术+选择性骶神经切断术 治疗脊柱裂后尿失禁
[5] Schneidau T, Franco I, Zebold K, Kaplan W. Selective sacral rhizotomy for the management of neurogenic bladders in spina bifida patients: long-term followup. J Urol. 1995 Aug;154(2 Pt 2):766-8.
In 1992, 2 of us (I.F. and W.K.) first reported results with selective sacral rhizotomy and cord untethering in 8 spina bifida patients. We report long-term followup of our original 8 patients and 3 additional patients. This followup demonstrates remarkable success in maintaining bladder volume and low pressures after rhizotomy and cord untethering. Uninhibited contractions resolved in all patients postoperatively. A more favorable response occurred in the patients younger than 9 years, supporting early intervention with selective sacral rhizotomy.
http://www.sciencenet.cn/m/user_content.aspx?id=322885
学者肖传国 发表于2010-5-11 19:24:32
五、根据我的理解，患者在经过“肖氏手术”之后，必须要经过物理治疗或持续的锻炼才能够恢复腿部的力量。并且，恢复控制排泄的功能本身也需要一定的训练。请问，不论是神源，还是协和，有多少患者（百分比）在术后接受这样的治疗或者专业指导？术后训练包括在治疗合同之中吗？
ANWSER TO Q5： 脊髓膨出的病人不需要，一般一年内均可自行恢复腿部肌肉力量到术前水平。至于排尿训练，对脊髓膨出病人不需要，但对截瘫病人非常需要。我们对所有病人都要求每6个月来免费尿动力学复查和训练。