| 骶髓下脊髓损伤患者尿动力学特点与处理 |
| |
| 引用本文： | 吴娟,廖利民,李丹,付光,李东. 骶髓下脊髓损伤患者尿动力学特点与处理[J]. 中国康复理论与实践, 2011, 17(7): 685-687 |
| |
| 作者姓名： | 吴娟 廖利民 李丹 付光 李东 |
| |
| 作者单位： | 1. 中国康复研究中心北京博爱医院泌尿外科,北京市,100068
2. 首都医科大学康复医学院,北京市,100068 |
| |
| 摘 要： | 目的分析研究骶髓下脊髓损伤患者尿动力学特点,随访泌尿系康复治疗方法及疗效。方法回顾性分析骶髓下脊髓损伤患者169例影像尿动力检查结果和泌尿系管理方法,观察其泌尿系变化及并发症的发生情况。结果 129例(76.33%)表现为逼尿肌无反射,其中46例(27.22%)表现为膀胱顺应性增加,12例(7.10%)出现膀胱输尿管返流;21例(12.43%)表现为逼尿肌过度活动,膀胱顺应性下降,其中5例(2.96%)出现膀胱输尿管返流。根据尿动力检查结果选择不同的治疗方法,2年随访治疗效果满意,无特殊并发症。结论骶髓下脊髓损伤患者大多表现为逼尿肌无反射,膀胱顺应性增加。根据尿动力检查结果选择适当的综合康复治疗手段,能有效保护上尿路功能,预防泌尿系感染等并发症的出现。
|
| 关 键 词： | 脊髓损伤 影像尿动力学 治疗 |
Video-urodynamic Characteristics and Management in Infra-sacral Cord Injury:169 Cases Report |
| |
| WU Juan,LIAO Li-min,LI Dan,et al.. Video-urodynamic Characteristics and Management in Infra-sacral Cord Injury:169 Cases Report[J]. Chinese Journal of Rehabilitation Theory and Practice, 2011, 17(7): 685-687 |
| |
| Authors: | WU Juan LIAO Li-min LI Dan et al. |
| |
| Affiliation: | WU Juan,LIAO Li-min,LI Dan,et al.Department of Urology,Capital Medical University School of Rehabilitation Medicine,Beijing Charity Hospital,China Rehabilitation Research Centre,Beijing 100068,China |
| |
| Abstract: | Objective To discuss the video-urodynamic characteristics and management in infra-sacral cord injured patients.Methods The video-urodynamic finding and managements in 169 patients was reviewed.They were followed up for 2 years.Results Detrusor are-flexia was found in 76.33%(129/169) patients,among them there were 27.22%(46/169) patients appeared hyper-compliance,and 7.10%(12/169) patients appeared reflux.The video-urodynamic characteristics showed over activity and low-compliance in 12.43%(21/169) pa-tients... |
| |
| Keywords: | spinal cord injury video-urodynamics management |
| 本文献已被 CNKI 万方数据 等数据库收录！ |
|
