国际泌尿系统杂志
國際泌尿繫統雜誌
국제비뇨계통잡지
INTERNATIONAL JOURNAL OF UROLOGY AND NEPHROLOGY
2015年
3期
384-386
,共3页
膀胱,神经原性%脊柱损伤%尿动力学
膀胱,神經原性%脊柱損傷%尿動力學
방광,신경원성%척주손상%뇨동역학
Urinary Bladder,Neurogenic%Spinal Injuries%Urodynamics
目的 探讨尿流动力学分析在胸腰段脊髓损伤所致神经源性膀胱功能评估中的应用及意义.方法 选取80例胸腰段脊髓损伤伴排尿障碍患者为研究对象,分析患者膀胱顺应性、逼尿肌反射、逼尿肌外括约肌协调等指标.结果 80例中64例(80％)出现逼尿肌反射亢进,其中伴尿道外括约肌协调22例,失调42例;16例出现逼尿肌无反射(20％),其中伴尿道外括约肌协调4例,失调4例,去神经化8例.80例中16例(20％)表现为膀胱顺应性增加,64例(80％)表现为膀胱顺应性下降.结论 胸腰段脊髓损伤患者大多表现为逼尿肌反射亢进,仍有部分表现为逼尿肌无反射.并根据尿道括约肌功能进一步分为数种亚型.尿动力学检查在胸腰段脊髓损伤中明确了神经源性膀胱的类型,为治疗及预后判断提供价值.
目的 探討尿流動力學分析在胸腰段脊髓損傷所緻神經源性膀胱功能評估中的應用及意義.方法 選取80例胸腰段脊髓損傷伴排尿障礙患者為研究對象,分析患者膀胱順應性、逼尿肌反射、逼尿肌外括約肌協調等指標.結果 80例中64例(80％)齣現逼尿肌反射亢進,其中伴尿道外括約肌協調22例,失調42例;16例齣現逼尿肌無反射(20％),其中伴尿道外括約肌協調4例,失調4例,去神經化8例.80例中16例(20％)錶現為膀胱順應性增加,64例(80％)錶現為膀胱順應性下降.結論 胸腰段脊髓損傷患者大多錶現為逼尿肌反射亢進,仍有部分錶現為逼尿肌無反射.併根據尿道括約肌功能進一步分為數種亞型.尿動力學檢查在胸腰段脊髓損傷中明確瞭神經源性膀胱的類型,為治療及預後判斷提供價值.
목적 탐토뇨류동역학분석재흉요단척수손상소치신경원성방광공능평고중적응용급의의.방법 선취80례흉요단척수손상반배뇨장애환자위연구대상,분석환자방광순응성、핍뇨기반사、핍뇨기외괄약기협조등지표.결과 80례중64례(80％)출현핍뇨기반사항진,기중반뇨도외괄약기협조22례,실조42례;16례출현핍뇨기무반사(20％),기중반뇨도외괄약기협조4례,실조4례,거신경화8례.80례중16례(20％)표현위방광순응성증가,64례(80％)표현위방광순응성하강.결론 흉요단척수손상환자대다표현위핍뇨기반사항진,잉유부분표현위핍뇨기무반사.병근거뇨도괄약기공능진일보분위수충아형.뇨동역학검사재흉요단척수손상중명학료신경원성방광적류형,위치료급예후판단제공개치.
Objectives To evaluate the application and significance of urine flow dynamic analysis in function evaluation for neurogenic bladder caused by thoracic lumbar spinal cord injury.Methods Selected 80 cases of thoracic lumbar spinal cord injury with urination disorders as the research object.Analyzed the index of bladder compliance,detrusor reflex and detrusor-external sphincter dyssynergia.Results In the total 80 cases,64 cases (80％) of detrusor hyperreflexia,included 22 cases with urethral sphincter coordinate,42 cases with imbalance.16 cases (20％) of detrusor areflexia,included 4 cases with urethral sphincter coordinate,4 cases with imbalance,8 cases with denervation.In total 80 cases,16 cases(20％) of bladder compliance increased,64 cases (80％) with bladder compliance decreased.Conclusions Thoracic lumbar spinal cord injury patients usually show the detrusor hyperreflexia,and there are still a part of detrusor areflexia.According to the urethral sphincter function,neurogenic bladder is further divided into several subtypes.Urine flow dynamic analysis in thoracic lumbar spinal cord injury has been clear about the type of neurogenic bladder,provide value for treatment and prognosis judgement.
