摘要
目的探讨脑桥上神经损伤所致膀胱尿道功能障碍的影像尿动力学改变。方法回顾性分析2004年2月至2009年5月65例行影像尿动力学检查的脑桥上神经损伤患者的资料,包括临床表现、诊断、排尿方式、超声、尿流率、残余尿、充盈期膀胱压力容积测定、排尿期压力流率测定和影像学结果,并与骶上脊髓损伤患者进行比较。结果 65例患者中,逼尿肌过度活动占61.5%、反射正常占24.6%、无反射占13.9%、逼尿肌-尿道外括约肌协同失调(DSD)占6.2%、输尿管返流占4.61%。脑桥上不同神经损伤类型尿动力表现无明显差异;与骶上脊髓损伤比较,DSD、输尿管返流、上尿路积水发生率少见,反射正常比例较高。结论脑桥上神经损伤所致膀胱尿道功能障碍的主要尿动力学特点是逼尿肌过度活动伴括约肌协同正常,较少出现DSD、输尿管返流、上尿路积水等并发症。
Objective To explore the video-urodynamic characteristics of neurogenic bladder caused by suprapontine neuropathy.Methods 65 patients with neurogenic bladder caused by suprapontine neuropathy were involved from February 2004 to May 2009.The data were analyzed retrospectively,including clinical manifestation,diagnosis,voiding management,ultrasound,uroflow,post void residual,filling cystometry,pressure-flow study and the radiology.The results were compared with those of the suprasacral spinal cord injury.Results No significant difference was found in the urodynamic parameters between various kinds of suprapontine neuropathy.Compared with suprasacral spinal cord injury,suprapontine neuropathy had less detrusor-sphincter dyssynergia,less reflux and upper urinary tract dilation but more normal micturiton reflex.Conclusion The main video-urodynamic characteristic of neurogenic bladder caused by suprapontine neuropathy is detrusor overactivity,and the detrusor-sphincter dyssynergia,reflux and upper urinary tract dilation are rare.
出处
《中国康复理论与实践》
CSCD
2010年第12期1103-1105,共3页
Chinese Journal of Rehabilitation Theory and Practice
基金
国家"十一五"科技支撑计划资助项目(2008BAI50B06)
