CAJ | 학술논문

目的：观察尿道外括约肌牵张治疗神经源性膀胱排尿障碍的疗效。方法：选择存在神经源性膀胱的40例男性脊髓损伤患者，随机数字表法分为治疗组和对照组各20例，对照组患者仅进行单纯间歇导尿治疗，治疗组患者在单纯间歇导尿治疗的基础上加以球囊牵张尿道外括约肌治疗。观察治疗前后两组患者24 h间歇导尿次数、残余尿量、最大尿道压、排尿方式的变化。结果：经治疗后两组患者残余尿量、间歇导尿次数、最大尿道压及排尿方式等方面均有改善，但治疗组改善情况优于对照组，两组比较差异均有统计学意义（P<0.05）。结论：尿道外括约肌的牵张治疗神经源性膀胱可以减少间歇导尿次数、减小尿道流出道阻力、降低残余尿量，有利于自主排尿恢复；该技术具有安全简便易于操作，副作用小、不良反应少、选择性高等优点，便于推广使用。
목적：관찰뇨도외괄약기견장치료신경원성방광배뇨장애적료효。방법：선택존재신경원성방광적40례남성척수손상환자，수궤수자표법분위치료조화대조조각20례，대조조환자부진행단순간헐도뇨치료，치료조환자재단순간헐도뇨치료적기출상가이구낭견장뇨도외괄약기치료。관찰치료전후량조환자24 h간헐도뇨차수、잔여뇨량、최대뇨도압、배뇨방식적변화。결과：경치료후량조환자잔여뇨량、간헐도뇨차수、최대뇨도압급배뇨방식등방면균유개선，단치료조개선정황우우대조조，량조비교차이균유통계학의의（P<0.05）。결론：뇨도외괄약기적견장치료신경원성방광가이감소간헐도뇨차수、감소뇨도류출도조력、강저잔여뇨량，유리우자주배뇨회복；해기술구유안전간편역우조작，부작용소、불량반응소、선택성고등우점，편우추엄사용。
Objective:To investigate the therapeutic effects of external urethral sphincter distraction on neurogenic blade. Method:40 male neurogenic bladde patients with spinal cord injury were recruited in this study. The patients were divided randomly into two groups,each contained 20 cases. The control group was only treated by intermittent catheterization,and the treatment group was treated by ballon dilation of external urethral sphincter and intermittent catheterization. Changes of 24 hours intermittent catheterization times,residual urine volume,maximum urethral pressure and micturition mode of the two groups were studied. Result:In treatment group,residual urine volume of 18 patients was less than 100 mL(15 cases with recovery of automatic micturition,3 cases with micturition rely on abdominal pressure), and residual urine volume of 2 patients decreased. And,maximum urethral pressure and intermittent catheterization times reduced. Reducing the residual urine volume and the number of catheterization of the treatment groups was better than that of the control group(P<0.01). Conclusion:The treatment group is significantly more improved the situation of urinary dysfunction than the control group. The therapy of ballon dilation of external urethral sphincter can reduce the residual urine volume,maximum urethral pressure,urethral catheterization times,and is conducive to the recovery of automatic micturition. The combined treatment of ballon dilation of external urethral sphincter and intermittent catheterization is more effective in external urethral sphincter distraction.