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脊髓损伤后弛缓性膀胱的治疗
引用本文:钟贵彬,侯春林. 脊髓损伤后弛缓性膀胱的治疗[J]. 中国修复重建外科杂志, 2005, 19(8): 673-675
作者姓名:钟贵彬  侯春林
作者单位:第二军医大学附属长征医院骨科,上海,200003
基金项目:国家自然科学基金资助项目(303714470)
摘    要:
目的探讨脊髓损伤后弛缓性膀胱的治疗方法。方法广泛查阅国内外相关文献,介绍几种弛缓性膀胱的治疗方法。结果脊髓损伤后弛缓性膀胱尚缺乏有效的治疗方法,与清洁间断导尿、加压排尿、药物治疗及重建逼尿肌功能等治疗方法相比,建立人工反射弧能实现膀胱的可控性排尿。结论人工反射弧的建立为脊髓损伤所致的弛缓性膀胱提供了一种新的膀胱功能重建方法。

关 键 词:脊髓损伤弛缓性膀胱人工反射弧
收稿时间:2004-04-15
修稿时间:2004-04-15

THERAPY PROGRESS OF ATONIC BLADDER AFTER SPINAL CORD INJURY
ZHONG Guibin,HOU Chunlin. THERAPY PROGRESS OF ATONIC BLADDER AFTER SPINAL CORD INJURY[J]. Chinese journal of reparative and reconstructive surgery, 2005, 19(8): 673-675
Authors:ZHONG Guibin  HOU Chunlin
Affiliation:Department of Orthopaedics, Changzheng Hospital of Second Military Medical University, Shanghai 200003, P R China. zhonggb2004@yahoo.com.cn
Abstract:
Objective To study the advance in the treatment of atonie bladder after spinal cord injury. Methods The rencent literature concerned was extensively reviewed and some methods of therapy for atonic bladder were introduced. Results No effective method of therapy was found for atonic bladder after spinal cord injury. When compared with clean intermittent catheterization, pharmacologic therapy, compressive micturition and detrusor function reconstruction, the establishment of an artificial bladder reflex arc may have a potential of controllable micturition. Conclusion To establish an artificial bladder reflex may provide an update of current therapeutic concepts for atonic bladder after spinal cord injury.
Keywords:Spinal cord injury Atonic bladder Artificial reflex arc
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