《中国康复理论与实践》

《中国康复理论与实践》 ›› 2011, Vol. 17 ›› Issue (7): 685-687.

• 论文 • 上一篇    下一篇

骶髓下脊髓损伤患者尿动力学特点与处理

吴娟，廖利民，李丹，付光，李东   

  1. 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。
  • 收稿日期:2010-11-15 修回日期:1900-01-01 出版日期:2011-07-25 发布日期:2011-07-25

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

WU Juan, LIAO Li-min, LI Dan,et al.   

  1. Department of Urology, Capital Medical University School of Rehabilitation Medicine, Beijing Charity Hospital, China Rehabilitation Research Centre, Beijing 100068, China
  • Received:2010-11-15 Revised:1900-01-01 Published:2011-07-25 Online:2011-07-25

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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

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 areflexia 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) patients, including reflux in 5 cases. Different management was chosen according to the video-urodynamic examination. No special complication 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.

Key words: spinal cord injury, video-urodynamics, management