Ersoz M, Akyuz M
Ankara Physical Medicine & Rehabilitation Education and Research Hospital of Ministry of Health, Ankara, Turkey.
Spinal Cord. 2004 Feb;42(2):110-6. doi: 10.1038/sj.sc.3101525.
Investigation of bladder-filling sensation in 73 consecutive traumatic spinal cord injury (SCI) patients during laboratory cystometry.
To determine the frequencies of bladder-filling sensation in SCI patients with complete lesions above T11 and below T10 and with incomplete lesions, to examine the quality of the preserved sensation, as well as to determine the potential for sensation-dependent bladder emptying in this patient group.
Physical Medicine and Rehabilitation Education and Research Hospital of Ministry of Health, Ankara, Turkey.
Bladder-filling sensation was investigated in 73 consecutive patients with traumatic SCI using continuous medium fill cystometry. Bladder-filling sensation was categorised as absent, partially preserved or preserved. Presence of bladder-filling sensation before intravesical pressure (Pves) reached 25 and 40 cmH2O, and simultaneous presence of bladder capacity of more than 150 ml were investigated as the measures of the quality of the sensation.
Bladder-filling sensation was present to some degree in all incomplete SCI patients, in 82.4% of the patients with complete lesions below T10, and 38.9% of the patients with complete lesions above T11. There were statistically significant differences between three groups with respect to bladder sensation category (P<0.001). About 86% of the patients with incomplete lesions, 53% of the patients with complete lesions below T10 and 22% of those with lesions above T11 had bladder-filling sensation before Pves reached 25 cmH2O and simultaneous bladder capacity of more than 150 ml was present in 61.2, 41.2 and 22.2% of the patients in the groups, respectively. Bladder-filling sensation investigations were reliable in terms of bladder filling sensation category in 36 SCI patients who had second cystometric examination.
Presence of bladder-filling sensation in many of the SCI patients observed in this study revealed the potential for sensation-dependent bladder emptying in SCI patients, especially in the ones with complete lesions below T10 and the ones with incomplete lesions. This method may prevent early emptying attempts, unnecessary catheterisations and overdistension episodes and may improve the patient's self-esteem and quality of life. However, further studies on clinical experience and patient compliance for this method are needed.
对73例连续性创伤性脊髓损伤（SCI）患者在实验室膀胱测压期间的膀胱充盈感觉进行调查。
确定胸11以上和胸10以下完全性损伤以及不完全性损伤的SCI患者的膀胱充盈感觉频率，检查保留感觉的质量，并确定该患者群体中感觉依赖性膀胱排空的可能性。
土耳其安卡拉卫生部物理医学与康复教育及研究医院。
采用连续中等速度充盈膀胱测压法对73例连续性创伤性SCI患者的膀胱充盈感觉进行调查。膀胱充盈感觉分为缺失、部分保留或保留。调查膀胱内压（Pves）达到25和40 cmH₂O之前膀胱充盈感觉的存在情况，以及同时存在膀胱容量超过150 ml的情况，以此作为感觉质量的指标。
所有不完全性SCI患者均有一定程度的膀胱充盈感觉，胸10以下完全性损伤患者中82.4%有此感觉，胸11以上完全性损伤患者中38.9%有此感觉。三组在膀胱感觉类别方面存在统计学显著差异（P<0.001）。约86%的不完全性损伤患者、53%的胸10以下完全性损伤患者和22%的胸11以上损伤患者在Pves达到25 cmH₂O之前有膀胱充盈感觉，三组中分别有61.2%、41.2%和22.2%的患者同时存在膀胱容量超过150 ml的情况。在36例接受第二次膀胱测压检查的SCI患者中，膀胱充盈感觉调查在膀胱充盈感觉类别方面是可靠的。
本研究中观察到的许多SCI患者存在膀胱充盈感觉，这揭示了SCI患者，尤其是胸10以下完全性损伤患者和不完全性损伤患者存在感觉依赖性膀胱排空的可能性。这种方法可以防止早期排空尝试、不必要的导尿和过度扩张事件，并可能提高患者的自尊和生活质量。然而，需要对该方法的临床经验和患者依从性进行进一步研究。
