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[脊髓损伤和多发性硬化症之外的下尿路功能障碍的神经肌肉功能障碍。给泌尿科医生的一项挑战]

[Neuromuscular dysfunction of the lower urinary tract dysfunction beyond spinal cord injury and multiple sclerosis. A challenge for urologists].

作者信息

Reitz A, Fisang C, Müller S C

机构信息

Klinik und Poliklinik für Urologie, Universitätsklinikum, Bonn, Deutschland.

出版信息

Urologe A. 2008 Sep;47(9):1097-8, 1100-2, 1104-5. doi: 10.1007/s00120-008-1850-y.

Abstract

Neurogenic bladder subsequent to paraplegia serves as a paradigm when classifying the type of disorder analogous to the level of paralysis. In cases of multiple sclerosis micturition symptoms already present a manifold picture that changes in the clinical course. Rarer neurological disorders, on the other hand, such as infantile cerebral palsy, Parkinson's disease, multisystem atrophy, Alzheimer's disease, cerebrovascular disorders, Guillain-Barré syndrome, AIDS, herpes zoster, systemic lupus erythematosus, and herniated lumbar disc, often cause uncertainty with regard to necessary diagnostic tests and treatment.This review considers the available knowledge about voiding disorders and urinary incontinence associated with specific neurologic and neuromuscular diseases and provides recommendations for diagnostic work-up and pragmatic therapy.

摘要

截瘫后神经源性膀胱在根据与瘫痪水平类似的疾病类型进行分类时可作为范例。在多发性硬化症病例中,排尿症状已经呈现出多样的表现,且在临床过程中会发生变化。另一方面,较罕见的神经系统疾病,如婴儿脑性瘫痪、帕金森病、多系统萎缩、阿尔茨海默病、脑血管疾病、格林-巴利综合征、艾滋病、带状疱疹、系统性红斑狼疮和腰椎间盘突出症,常常在必要的诊断检查和治疗方面造成不确定性。本综述考虑了有关与特定神经和神经肌肉疾病相关的排尿障碍和尿失禁的现有知识,并为诊断检查和实用治疗提供建议。

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