《中国康复理论与实践》

《中国康复理论与实践》 ›› 2003, Vol. 9 ›› Issue (10): 616-617.

• 脊髓损伤康复 • 上一篇    下一篇

网状尿道支架治疗神经原性下尿路功能障碍13例

韩春生; 熊宗胜; 李东; 黄悦; 廖利民   

  1. 北京博爱医院泌尿外科 北京市 100068
  • 收稿日期:2003-06-23 出版日期:2003-10-25 发布日期:2003-10-25

Urethral stent implantation in treatment for detrusor-sphincter dyssynergia caused by neurogenic lower urinary tract dysfunction

HAN Chun-sheng, XIONG Zong-sheng, LI Dong, et al   

  1. Department of Urology, Beijing Charity Hospital,Beijing 100068, China
  • Received:2003-06-23 Published:2003-10-25 Online:2003-10-25

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摘要： 目的观察网状尿道支架植入术对神经原性下尿路功能障碍的治疗效果。方法对13例神经原性下尿路功能障碍患者行网状尿道支架后尿道植入术,对比手术前后排尿功能、剩余尿量、肾积水程度、血清肌酐及尿素氮等指标的变化,评定手术对神经原性下尿路功能障碍的治疗效果。结果13例患者中,7例术后能控制排尿,6例形成尿失禁,2例因术后不能耐受支架对尿道的刺激而取出支架,1例因术后仍存在排尿困难而行支架2次植入。所有患者的血清肌酐、尿素氮变化不明显,而剩余尿量和肾积水改善明显。结论对神经原性下尿路功能障碍、逼尿肌-外括约肌协同失调患者,尿道支架植入术可显著减少残余尿量,改善肾盂积水状态。

关键词: 神经原性下尿路功能障碍, 逼尿肌-括约肌协同失调, 尿道支架植入

Abstract: ObjectiveTo observe the effect of urethral stent implantation on detrusor-sphincter dyssynergia caused by neurogenic lower urinary tract dysfunction.Methods13 patients with detrusor-sphincter dyssynergia caused by neurogenic lower urinary tract dysfunction were treated with the operation of the urethral stent implantation. Voiding function, renal function, residual urine volume and hytronephrosis were examined before and after the operation to evaluate the effect of this procedure.ResultsAfter operation, 7 patients normally emptied their bladders and 6 patients had urinary incontinence. Urethral stents were removed from 2 patients in this group due to the irritation symptoms, the second implantation was performed in a patient due to the voiding difficulty. The renal function of patients after the operation had a non-significant improvement, but the residual urine volume and hytronephrosis improved significantly.Conclusion Urethral stent implantation can decrease residual urine volume and hytronephrosis in patients with detrusor-sphincter dyssynergia caused by neurogenic lower urinary tract dysfunction.

Key words: neurogenic lower urinary tract dysfunction, detrusor-sphincter dyssynergia, urethral stent implantation