单纯间歇导尿改善神经源性膀胱并发上尿路扩张积水12例报道

发布时间：2018-07-13 11:44

【摘要】：目的探讨单纯间歇导尿改善神经源性膀胱患者上尿路扩张积水的影像尿动力学适应症。方法回顾性分析2008年1月至2016年6月采用单纯间歇导尿处理的12例神经源性膀胱并发上尿路扩张积水患者的临床资料。结果经系统规律随访,本组患者肾积水均得到缓解或消失。其影像尿动力学共同特点为无逼尿肌过度活动,测压容积300 ml,储尿期末逼尿肌压力40cm H2O,无膀胱输尿管返流,排空差,腹压排尿,残余尿150 ml。结论对于储尿功能尚可,主要表现为排尿障碍的神经源性膀胱并发上尿路扩张积水患者,建议首选间歇导尿。
[Abstract]:Objective to investigate the indication of radiographic urodynamics in patients with neurogenic bladder by intermittent catheterization to improve hydronephrosis of upper urinary tract. Methods from January 2008 to June 2016, 12 patients with neurogenic bladder complicated with hydronephrosis of upper urinary tract were treated with intermittent catheterization. Results after systematic follow-up, hydronephrosis was relieved or disappeared. The common features of imaging urodynamics were no detrusor hyperactivity, pressure measurement volume 300ml, detrusor pressure 40cm H 2O at the end of urine storage, no bladder ureteral reflux, emptying, abdominal pressure urination, and residual urine 150ml. Conclusion for the patients with urinary tract dilatation and hydronephrosis, the first choice is intermittent catheterization.
【作者单位】： 首都医科大学康复医学院;中国康复研究中心北京博爱医院泌尿外科;
【分类号】：R694.5

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