CAJ | 학술논문

目的：探讨神经源性膀胱形态变化与上尿路功能损害的关系，提出-膀胱变形指数作为评估的简单指标。方法回顾我院资料完整的神经源性膀胱患者111例：脊髓损伤者56人，脊髓栓系等疾病者55例。按发现肾盂输尿管积水扩张和／或伴有膀胱输尿管返流作为上尿路功能损害诊断指标进行分组分析。结果上尿路损害组膀胱变形指数＞50％发生率显著高于无上尿路损害组。结论膀胱变形指数可作为神经源性膀胱上尿路功能损害的进展监测、术前评估和术后疗效评定的较敏感指标。
목적：탐토신경원성방광형태변화여상뇨로공능손해적관계，제출-방광변형지수작위평고적간단지표。방법회고아원자료완정적신경원성방광환자111례：척수손상자56인，척수전계등질병자55례。안발현신우수뇨관적수확장화／혹반유방광수뇨관반류작위상뇨로공능손해진단지표진행분조분석。결과상뇨로손해조방광변형지수＞50％발생솔현저고우무상뇨로손해조。결론방광변형지수가작위신경원성방광상뇨로공능손해적진전감측、술전평고화술후료효평정적교민감지표。
Objective To investigate the relationship between neurogenic bladder deformation and upper urinary tract deterioration,and to put forward bladder deformation index(BDI)and use it as a simple measure of treatment eval-uation for neurogenic bladder.Methods The entire clinical date of neurogenic bladder 111 patients in our hospital were retrospectively reviewed and analyzed,56 peoples of them with spinal cord injury,the other 55 cases with spinal cord disease.All the patients were divided into the upper urinary tract deterioration group and non-upper urinary tract deteri-oration groups accoding to diagnostic criteria(find the hydronephrosis and ureter dilatation and/ or bladder-ureteral reflux as indicators of upper urinary tract deterioration)Results The rate occured of BDI >50% in upper urinary tract deterioration group was significantly higher than that of the non- deterioration groups.Conclusion The BDI may be useful as assessment for progress monitoring,preoperative evaluation and postoperative indicators for neurogenic blad-der with upper urinary tract deterioration.