Suzuki T, Ushiyama T
Department of Urology, National Rehabilitation Center for the Disabled, Tokorozawa, Japan.
Spinal Cord. 2001 Jan;39(1):23-5. doi: 10.1038/sj.sc.3101091.
A retrospective study.
To investigate the risk factors of vesicoureteral reflux in the early stage of spinal cord injury.
Japan.
Urological evaluation, including cystography and urodynamic study was performed in patients in the early stage of spinal cord injury. The patients were divided into two groups. Group 1 included 13 patients with vesicoureteral reflux. Group 2 included 97 patients without vesicoureteral reflux. We compared Group 1 and Group 2 regarding bladder deformation, the level of spinal cord injury, bladder behaviour, bladder compliance, high urethral closure pressure and method of urine evacuation.
The patients injured between Th10 and L2 showed a significantly higher incidence of vesicoureteral reflux than those injured in other areas (P<0.01). Furthermore, bladder compliance among patients with vesicoureteral reflux tended to be low. Other factors showed no differences between patients with and without vesicoureteral reflux.
Injuries between Th10 and L2 involve the sympathetic nervous system. Patients with such injuries often exhibited vesicoureteral reflux in the early stage of spinal cord injury.
一项回顾性研究。
探讨脊髓损伤早期膀胱输尿管反流的危险因素。
日本。
对脊髓损伤早期患者进行包括膀胱造影和尿动力学研究在内的泌尿外科评估。患者分为两组。第1组包括13例膀胱输尿管反流患者。第2组包括97例无膀胱输尿管反流患者。我们比较了第1组和第2组在膀胱变形、脊髓损伤水平、膀胱行为、膀胱顺应性、尿道闭合压高值和排尿方法方面的情况。
胸10至腰2节段损伤的患者膀胱输尿管反流发生率显著高于其他节段损伤的患者（P<0.01）。此外，膀胱输尿管反流患者的膀胱顺应性往往较低。其他因素在有和无膀胱输尿管反流的患者之间没有差异。
胸10至腰2节段损伤累及交感神经系统。此类损伤的患者在脊髓损伤早期常出现膀胱输尿管反流。
