骶髓下脊髓损伤患者尿动力学特点与处理  

Video-urodynamic Characteristics and Management in Infra-sacral Cord Injury:169 Cases Report

作　　者：吴娟[1,2] 廖利民[1,2] 李丹[1,2] 付光[1,2] 李东[1,2] 

机构地区：[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

出　　处：《中国康复理论与实践》2011年第7期685-687,共3页Chinese Journal of Rehabilitation Theory and Practice

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。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,including reflux in 5 cases.Different management was chosen according to the video-urodynamic examination.No special complica-tion was observed after 2 years follow-up.Conclusion The majority patients with infra-sacral cord injury appeared detrusor areflexia and hyper-compliance.Special management according to the video-urodynamic characteristics is important for protecting upper urinary tract and preventing urinary system infection.

关 键 词：脊髓损伤 影像尿动力学 治疗 

分 类 号：R694[医药卫生—泌尿科学]