【摘要】：目的探討單純間歇導(dǎo)尿改善神經(jīng)源性膀胱患者上尿路擴(kuò)張積水的影像尿動(dòng)力學(xué)適應(yīng)癥。方法回顧性分析2008年1月至2016年6月采用單純間歇導(dǎo)尿處理的12例神經(jīng)源性膀胱并發(fā)上尿路擴(kuò)張積水患者的臨床資料。結(jié)果經(jīng)系統(tǒng)規(guī)律隨訪(fǎng),本組患者腎積水均得到緩解或消失。其影像尿動(dòng)力學(xué)共同特點(diǎn)為無(wú)逼尿肌過(guò)度活動(dòng),測(cè)壓容積300 ml,儲(chǔ)尿期末逼尿肌壓力40cm H2O,無(wú)膀胱輸尿管返流,排空差,腹壓排尿,殘余尿150 ml。結(jié)論對(duì)于儲(chǔ)尿功能尚可,主要表現(xiàn)為排尿障礙的神經(jīng)源性膀胱并發(fā)上尿路擴(kuò)張積水患者,建議首選間歇導(dǎo)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.
【作者單位】： 首都醫(yī)科大學(xué)康復(fù)醫(yī)學(xué)院;中國(guó)康復(fù)研究中心北京博愛(ài)醫(yī)院泌尿外科;
【分類(lèi)號(hào)】：R694.5

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