Moslavac S, Dzidic I, Kejla Z
Spinal Unit, Special Medical Rehabilitation Hospital, Varazdinske Toplice, Croatia.
Neurourol Urodyn. 2008;27(6):504-6. doi: 10.1002/nau.20575.
To compare leak-point intravesical pressure and cystometric capacity in complete and incomplete spinal cord injury (SCI) patients with neurogenic detrusor overactivity (NDO).
Retrospective study of filling cystometry at non-physiological filling rate in 80 SCI patients at rehabilitation or annual check-up using Dantec Etude urodynamic machine.
Fifty neurologically complete (ASIA (American Spinal Injury Association) A) and 30 incomplete (ASIA B-E) were diagnosed with neurogenic detrusor overactivity, all with suprasacral level of injury. Mean Pves leak-point pressure (Pves LPP) at cystometric capacity for ASIA A group was 79 +/- 30 cmH(2)O (range 26-140) and mean Pves LPP for ASIA B-E group was 70 +/- 29 cmH(2)O (range 25-130). There was no significant difference between groups (P = 0.234). Mean CC (cystometric capacity) for ASIA A group was 239 +/- 107 ml (range 47-526) and mean CC for ASIA B-E group was 227 +/- 125 ml (range 42-500). Again, no significant difference was found (P = 0.655).
No difference in cystometric capacity and intravesical leak point pressure at terminal detrusor overactivity was shown between complete and incomplete spinal cord injury patients in our survey, that is, represented findings are equally unfavorable for both groups. Incomplete SCI patients with NDO should be tested with cystometry and observed with same caution as we proceed in complete SCI patients.
比较患有神经源性逼尿肌过度活动（NDO）的完全性和不完全性脊髓损伤（SCI）患者的膀胱漏点压力和膀胱测压容量。
对80例在康复或年度体检时使用丹泰克Etude尿动力学仪器以非生理充盈速率进行膀胱测压的SCI患者进行回顾性研究。
50例神经学完全性损伤（美国脊髓损伤协会（ASIA）A级）和30例不完全性损伤（ASIA B - E级）被诊断为神经源性逼尿肌过度活动，所有患者损伤平面均在骶上。ASIA A组膀胱测压容量时的平均膀胱内压漏点压力（Pves LPP）为79±30 cmH₂O（范围26 - 140），ASIA B - E组的平均Pves LPP为70±29 cmH₂O（范围25 - 130）。两组之间无显著差异（P = 0.234）。ASIA A组的平均膀胱测压容量（CC）为239±107 ml（范围47 - 526），ASIA B - E组的平均CC为227±125 ml（范围42 - 500）。同样，未发现显著差异（P = 0.655）。
在我们的调查中，完全性和不完全性脊髓损伤患者在逼尿肌过度活动末期的膀胱测压容量和膀胱内漏点压力无差异，即所呈现的结果对两组同样不利。患有NDO的不完全性SCI患者应进行膀胱测压检查，并应与完全性SCI患者一样谨慎观察。
