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氯胺酮相关性膀胱炎的临床分析及治疗

王宇雄 刘春晓 姜成龙 谢小平

重庆医学Issue(32):3911-3912,3915,3.
重庆医学Issue(32):3911-3912,3915,3.DOI:10.3969/j.issn.1671-8348.2013.32.024

氯胺酮相关性膀胱炎的临床分析及治疗

The clinical survey and synthetical therapy of ketamine-associated cystitis

王宇雄 1刘春晓 2姜成龙 1谢小平3

作者信息

  • 1. 南方医科大学珠江医院泌尿外科,广州510282
  • 2. 广东省中西医结合医院泌尿外科,广东佛山528200
  • 3. 广东省中西医结合医院泌尿外科,广东佛山528200
  • 折叠

摘要

Abstract

Objective To investigate the clinical symptoms and diagnosis of ketamine-associated cystitis ,and evaluate the effec-tiveness of treatment .Methods From march 2008 to march 2013 ,21 cases of patients (16 males and 5 females)were respectively studied .And O′leary-sant scores and urodynamic index were taken to analysis .Results After comprehensive treatment of hydrodis-tention ,the O′leary-sant scores and frequency of unstable detrusor contraction were decreased ,and the maximum bladder capacity was expanded among 21 patients with average follow-up time of 8 ± 4 months .Conclusion Long-term ketamine abuse can cause se-vere lower urinary tract symptoms ,such as urinary frequency ,urgency and more severe cases of bladder contracture .However ,the hydrodistention can significantly increase bladder capacity under anesthesia with intravesical instillation .

关键词

氯胺酮/膀胱炎/症状/治疗

Key words

ketamine/cystitis/symptoms/therapy

引用本文复制引用

王宇雄,刘春晓,姜成龙,谢小平..氯胺酮相关性膀胱炎的临床分析及治疗[J].重庆医学,2013,(32):3911-3912,3915,3.

基金项目

广东省中医药管理局科研基金资助项目(20111147)。 ()

重庆医学

OA北大核心CSCDCSTPCD

1671-8348

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