脑血管意外后排尿障碍患者影像尿动力学分析  

Videourodynamic Studies of Patients with Micturitional Disturbance after Cerebrovascular Accident

作　　者：陈敬绵[1] 张通[2] 廖利民[3] 

机构地区：[1]中国康复研究中心北京博爱医院急诊科 [2]中国康复研究中心北京博爱医院神经康复科 [3]中国康复研究中心北京博爱医院泌尿外科

出　　处：《中国康复理论与实践》2008年第4期370-371,共2页Chinese Journal of Rehabilitation Theory and Practice

摘　　要：目的分析脑血管意外对下尿路功能的影响。方法回顾性分析19例脑血管意外后排尿障碍患者、19例同期胸椎脊髓损伤患者的影像尿动力学检查结果,比较两组患者膀胱逼尿肌和尿道外括约肌功能障碍的特点。结果脑血管意外排尿障碍患者以逼尿肌反射亢进为主,膀胱顺应性下降,尿道外括约肌多为松弛状态,逼尿肌反射亢进患者病灶集中于基底节和额叶;胸椎脊髓损伤患者影像尿动力检查与之有差异。结论脑血管意外后排尿障碍患者影像尿动力学改变以逼尿肌反射亢进和尿道外括约肌松弛为主,与胸椎脊髓损伤后导致的神经源性膀胱影像尿动力学检查差异明显。Objective To study the effect of cerebrovascular accident on lower urinary tract. Methods A retrospective review of non-complete synchronized videourodynamic recordings of 19 patients with cerebrovascular accident and 19 cases with thoracic spinal cord injury in synchronization was performed. Results The patients with cerebrovascular accident were found mainly detrusor hyperreflexia, low bladder compliance, sphincter relaxation, and the detrusor hyperreflexia was noted primarily in lesions of the basal ganglia lobe as well as the frontal. These characteristics were different from the cases with thoracic spinal cord injury. Conclusion The videourodynamic findings are mainly detrusor hyperreflexia and sphincter relaxation in patients with micturitional disturbance after cerebrovascular accident. It is different from findings in patients with thoracic spinal cord injury.

关 键 词：脑血管意外后排尿障碍患者影像尿动力学分析 

分 类 号：R743.3[医药卫生—神经病学与精神病学]