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神经源性膀胱诊断、分型和治疗研究进展

张勇 周禹瑄

西南医科大学学报2024,Vol.47Issue(6):461-465,470,6.
西南医科大学学报2024,Vol.47Issue(6):461-465,470,6.DOI:10.3969/j.issn.2096-3351.2024.06.001

神经源性膀胱诊断、分型和治疗研究进展

Advances in diagnosis,typing and treatment of neurogenic bladder

张勇 1周禹瑄1

作者信息

  • 1. 首都医科大学附属北京天坛医院 泌尿外科(北京 100050)
  • 折叠

摘要

Abstract

Neurogenic bladder(NB)is a lower urinary tract dysfunction caused by injury or lesion of the nervous system,which can cause a variety of lower urinary tract symptoms,combined with multiple system complications,and in severe cases can lead to kid-ney failure.The etiology of neurogenic bladder is complex,mainly including nervous system factors,infectious diseases,and iatrogenic factors.Due to the complex etiology and lack of specific clinical manifestations,the diagnosis,classification and treatment of neurogenic bladder are the key and difficulties that need to be solved in clinical practice.This article systematically summarized the diagnostic cri-teria for neurogenic bladder,including history taking and voiding diaries,laboratory tests,urinary system ultrasound,urodynamic stud-ies,and neurophysiological assessments.It also compiled the existing disease classification systems for neurogenic bladder,such as the ICS classification,Liao classification,as well as the Madersbacher,Krane-Siroky,and SALE classification systems.Furthermore,it or-ganized the current treatment methods available for neurogenic bladder,including pharmacological therapies,surgical interventions,and sacral nerve stimulation.Finally,the article discussed the latest advancements in tissue engineering and stem cell research,exploring new directions for the treatment of neurogenic bladder.

关键词

神经源性膀胱/诊断/分型/治疗

Key words

Neurogenic bladder/Diagnosis/Classification/Treatment

分类

医药卫生

引用本文复制引用

张勇,周禹瑄..神经源性膀胱诊断、分型和治疗研究进展[J].西南医科大学学报,2024,47(6):461-465,470,6.

基金项目

首都卫生发展科研专项(2022-2-2044) (2022-2-2044)

西南医科大学学报

2096-3351

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