多系统萎缩导致严重排尿障碍的尿动力学表现  

Urodynamic Manifestations of Severe Urination Disorders Caused by Multiple System Atrophy

作　　者：高轶[1,2] 吴娟[1,2] 廖利民[1,2] GAO Yi;WU Juan;LIAO Li-min(Department of Neurourology and Urodynamics,Beijing Bo'ai Hospital,China Rehabilitation Research Centre,Beijing 100068,China;Capital Medical University School of Rehabilitation Medicine,Beijing 100068,China)

机构地区：[1]中国康复研究中心北京博爱医院神经泌尿科,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》2021年第8期978-981,共4页Chinese Journal of Rehabilitation Theory and Practice

基　　金：国家自然科学基金项目(No.81570688)。

摘　　要：目的探讨多系统萎缩(MSA)严重排尿障碍患者的临床特点。方法对2013年6月至2021年3月本院收治的12例严重排尿障碍的MSA患者的临床资料及影像尿动力学检查进行分析。结果12例MSA患者中,逼尿肌无反射8例;终末期逼尿肌过度活动,逼尿肌-尿道括约肌协同失调,充盈期逼尿肌过度活动、排尿期协同失调,尿动力正常者各1例。结论MSA临床症状复杂,影像尿动力学结果以逼尿肌无反射为主,但临床症状表现多样,诊断较为困难。电生理和头颅MRI检查能为诊断提供帮助。Objective To explore the clinical characteristics of urination disorders in multiple system atrophy(MSA).Methods The clinical data and imaging urodynamic examination of twelve MSA patients with severe urination disorders from June,2013 to March,2021 were retrospectively analyzed.Results Among twelve cases,there were eight cases with acontractile detrusor,one case with detrusor overactivity,one case with detrusor-sphincter dyssynergia,one case with filling detrusor hyperactivity and voiding-phase dyssynergia(DO+DSD),and one case with normal urodynamics.Conclusion The clinical symptoms of MSA are complex,and the early diagnosis is difficult.Electrophysiological and MRI examinations can be helpful for diagnosis.

关 键 词：多系统萎缩 排尿困难 尿失禁 前列腺增生 手术 

分 类 号：R691[医药卫生—泌尿科学]