《中国康复理论与实践》

《中国康复理论与实践》 ›› 2006, Vol. 12 ›› Issue (07): 571-573.

• 专题 脊髓损伤康复 • 上一篇    下一篇

58例脊髓损伤合并轻中度肾积水的临床分析

刘根林1,2; 李建军1; 周红俊1,2; 郑樱1,2; 郝春霞1,2; 汪家琮1,2   

  1. 1.首都医科大学康复医学院,北京市 100068;2.北京博爱医院脊髓损伤康复科,北京市 100068
  • 收稿日期:2006-03-13 出版日期:2006-07-01 发布日期:2006-07-01

Retrospective Analysis of Slight and Moderate Hydronephrosis in 58 Spinal Cord Injured Patients

LIU Gen-lin, LI Jian-jun, ZHOU Hong-jun, et al   

  1. Department of Spinal Cord Injury Rehabilitation, Beijing Charity Hospital,China Rehabilitation Research Center,Faculty of Rehabilitation of the Capital University of Medical Sciences,Beijing 100068, China
  • Received:2006-03-13 Published:2006-07-01 Online:2006-07-01

PDF (PC)

被引次数

26

摘要： 目的探讨脊髓损伤(SCI)肾积水的临床表现特点、发病机理和最佳治疗途径。方法对58例轻、中度脊髓损伤肾积水患者进行回顾性分析,观察肾积水缓解所需的治疗时间和复发情况。结果留置尿管、间歇导尿加药物、综合疗法3种治疗方法所需的治疗时间无差异;其中有效56例(96.55%);3个月内复发28例(48.28%);逼尿肌反射亢进合并括约肌痉挛(DSD)的复发率(57.14%)高于逼尿肌反射亢进者(28.57%)和低下者(14.29%);肾积水复发与患者不能坚持治疗有关。结论SCI肾积水的病程隐匿且易复发;长期坚持间歇导尿和药物治疗能有效预防肾积水的复发。

关键词: 脊髓损伤, 肾积水, 尿动力学, 诊断, 治疗, 康复

Abstract: ObjectiveTo investigate the clinical manifestation, mechanism and optimal treatment of hydronephrosis after spinal cord injury. Methods58 slight and moderate cases were retrospectively analyzed. ResultsThere were no differences in the remitted time among the therapies of indwelling catheter, intermittent catheterization and medicine, mixed therapy. 56 (96.55%) SCI hydronephrosis remitted after treatment, 28(48.28%) recurred within 3 months. The recurrence rate of the patients with detrusor sphincter dyssynergia (57.14%) was higher than that of the detrusor hyperreflexia (28.57%) and the detrusor hyporeflexia (14.29%). The recurrence was associated with the fact that many patients couldn't keep up with the systematic therapy.ConclusionThe onset of SCI hydronephrosis is indistinct and recurrent easily. Keeping up with intermittent catheterization and taking medicine can prevent SCI hydronephrosis recurrence effectively.

Key words: spinal cord injury, hydronephrosis, urodynamics, diagnosis, treatment, rehabilitation