中国伤残医学2017，Vol.25Issue(4)：9-11,3.DOI:10.13214/j.cnki.cjotadm.2017.04.005
颈段脊髓损伤患者膀胱管理的临床分析
Clinical Analysis of bladder management for patient with hand dysfunction after cervical spinal cord injury
摘要
Abstract
Objective:To discuss a feasible bladder management for the patient with hand dysfunction after cervical spinal cord injury and the possible prognosis , and to provide scientific basis for prevention of hydronephrosis .Methods:48 cervical spinal cord injury pa-tients were undergone renal ultrasound examination and planed the bladder management according to the results during March 2012 to De-cember 2015 , and follow-up were performed after discharge .The feasible bladder managements and the possible prognosis were ana -lyzed.Results:Urodynamic characteristics of 46 patients showed over activity and the sphincter dyssynergia of detrusor (DSD).Urody-namic characteristics of 2 patients showed non -reflex of detrusor even after spinal cord shock , but examinations after 1 year also showed over activity and the sphincter dyssynergia of detrusor (DSD).17patients had selected involuntary voiding and/or incontinent irregularly for bladder emptying after spinal cord injury , and hydronephrosis was found in 10 of them., then the cases were managed by indwelling catheter un til reduction or disappearance of hydronephrosis , and then they accepted indwelling catheter , intermittent catheterization ( com-bined with administration of antimuscarinic drugs or botulinum toxin injection into detrusor or augmentation cystoplasty ) ,or cystostomy , all were found no hydronephrosis except one with persistent mile hydronephrosis in the followed up examinations .The other patients had se-lected accepted indwelling catheter , intermittent catheterization ( combined with administration of antimuscarinic drugs or botulinum toxin injection into detrusor or augmentation cystoplasty ) ,or cystostomy , and all were found no hydronephrosis except one with hydronephrosis cause by stone obstruction .Conclusion:It should be very important for the patient with hand dysfunction after spinal cord injury to find a feasible and appropriate bladder management in order to prevent hydronephrosis , and the managements of indwelling catheter , intermittent catheterization(combined with administration of antimuscarinic drugs or botulinum toxin injection into detrusor or augmentation cystoplas -ty) ,or cystostomy could all have the effect of preventing hydronephrosis .关键词
颈段脊髓损伤/肾积水/膀胱管理Key words
Spinal cord injury/Hydronephrosis/Bladder Management分类
医药卫生引用本文复制引用
杨幸华,陈晖,刘晓艳,陈燕颜..颈段脊髓损伤患者膀胱管理的临床分析[J].中国伤残医学,2017,25(4):9-11,3.基金项目
广东省医学科研基金项目（A2015251），广东省中医药局基金项目 （）
