Campioni Paolo, Goletti Stefania, Nanni Marinella, Napoli Marzia, Palladino Francesco, Valentini Anna Lia
Istituto di Radiologia, Università Cattolica del S. Cuore, Policlinico A. Gemelli, Largo A. Gemelli 8, 00168 Roma, Italy.
Rays. 2002 Apr-Jun;27(2):121-5.
Correct radiologic diagnosis of neurogenic bladder is mainly based on morphofunctional information derived from voiding cystourethrography. This examination allows the evaluation of the bladder morphology, the degree of filling, and the validity of muscular contraction. Indications on the bladder neck, striated sphincter function and urethral morphology are also provided. Presence of ureterovesical reflux is detected with its possible precise classification. Abnormal amount of residual urine is identified and often early diagnosis of most common complications of neurogenic bladder as vesical lithiasis, diverticula and infections, can be established.
神经源性膀胱的正确放射学诊断主要基于排尿性膀胱尿道造影所获得的形态功能信息。该项检查可评估膀胱形态、充盈程度以及肌肉收缩的有效性。还可提供膀胱颈、横纹肌括约肌功能及尿道形态的相关指征。可检测出输尿管膀胱反流的存在及其可能的精确分级。可识别残余尿量异常,并且常常能够早期诊断神经源性膀胱的大多数常见并发症,如膀胱结石、憩室和感染。