Suppr超能文献

尿失禁患者卒中后的尿动力学:膀胱类型与病变部位之间存在相关性吗?

Urodynamics post stroke in patients with urinary incontinence: Is there correlation between bladder type and site of lesion?

作者信息

Gupta Anupam, Taly Arun B, Srivastava Abhishek, Thyloth Murali

机构信息

Department of Psychiatric and Neurological Rehabilitation, National Institute of Mental Health and Neuro Sciences (NIMHANS), Bangalore, India.

出版信息

Ann Indian Acad Neurol. 2009 Apr;12(2):104-7. doi: 10.4103/0972-2327.53078.

Abstract

OBJECTIVE

Assessment of bladder by urodynamic study (UDS) in patients with urinary incontinence following stroke, and correlation with site of lesion.

STUDY DESIGN AND SETTING

Retrospective cross-sectional study in the neurological rehabilitation unit of a tertiary care institute.

MATERIALS AND METHODS

Forty patients (22 males) with arterial or venous, ischemic or hemorrhagic stroke, with urinary incontinence in the acute phase following the event, underwent UDS. Seventeen patients had right hemiplegia, 18 had left hemiplegia, and five had posterior circulation stroke with brainstem/cerebellar features. Bladder type was correlated with age, side, and site of lesion.

RESULTS

The mean age was 46.80 +/- 16.65 years (range: 18-80 years). Thirty-six patients had arterial stroke and four had cortical venous thrombosis. UDS was performed after a mean of 28.32 +/- 10.27 days (range: 8-53 days) after the stroke. All but one patient had neurogenic bladder dysfunction, with 36 patients (90%) having overactive detrusor (OD) and three having underactive/areflexic detrusor. Among the 36 patients with OD, 25 patients (62.5%) had OD without detrusor-sphincter dyssynergy (DSD) and 11 (27.5%) had OD with DSD. Bladder management was advised based on the UDS findings. No significant correlation (P > 0.05) was found between type of bladder and age or side and site of lesion.

CONCLUSIONS

UDS is a useful tool to assess and manage the bladder following stroke with urinary incontinence. In this study, no significant correlation was found between UDS findings and site of lesion.

摘要

目的

通过尿动力学研究(UDS)评估中风后尿失禁患者的膀胱情况,并分析其与病变部位的相关性。

研究设计与背景

在一家三级医疗机构的神经康复科进行的回顾性横断面研究。

材料与方法

40例(22例男性)发生动脉或静脉性、缺血性或出血性中风且急性期出现尿失禁的患者接受了UDS检查。17例患者为右侧偏瘫,18例为左侧偏瘫,5例为具有脑干/小脑特征的后循环中风。膀胱类型与年龄、偏瘫侧及病变部位相关。

结果

平均年龄为46.80±16.65岁(范围:18 - 80岁)。36例患者为动脉性中风,4例为皮质静脉血栓形成。中风后平均28.32±10.27天(范围:8 - 53天)进行了UDS检查。除1例患者外,所有患者均存在神经源性膀胱功能障碍,其中36例(90%)逼尿肌过度活动(OD),3例逼尿肌活动低下/无反射。在36例OD患者中,25例(62.5%)为无逼尿肌-括约肌协同失调(DSD)的OD,11例(27.5%)为伴有DSD的OD。根据UDS检查结果给出膀胱管理建议。未发现膀胱类型与年龄、偏瘫侧及病变部位之间存在显著相关性(P>0.05)。

结论

UDS是评估和管理中风后尿失禁患者膀胱的有用工具。在本研究中,未发现UDS检查结果与病变部位之间存在显著相关性。

相似文献

2
Urodynamic profile of patients with neurogenic bladder following non-traumatic myelopathies.
Ann Indian Acad Neurol. 2013 Jan;16(1):42-6. doi: 10.4103/0972-2327.107693.
3
5
Urodynamic profile in acute transverse myelitis patients: Its correlation with neurological outcome.
J Neurosci Rural Pract. 2017 Jan-Mar;8(1):44-48. doi: 10.4103/0976-3147.193547.
9
Urodynamics for incontinence after midurethral sling removal.
Neurourol Urodyn. 2016 Nov;35(8):939-943. doi: 10.1002/nau.22831. Epub 2015 Jul 24.
10
Urodynamic findings in women with refractory overactive bladder symptoms.
Int J Urol. 2016 Jan;23(1):75-9. doi: 10.1111/iju.12954. Epub 2015 Sep 28.

本文引用的文献

1
Urodynamic classification of patients with symptoms of overactive bladder.
J Urol. 2003 Feb;169(2):529-33; discussion 533-4. doi: 10.1097/01.ju.0000047380.23852.b8.
2
Stroke and incontinence.
Stroke. 1998 Feb;29(2):524-8. doi: 10.1161/01.str.29.2.524.
3
Micturitional disturbance after acute hemispheric stroke: analysis of the lesion site by CT and MRI.
J Neurol Sci. 1996 Apr;137(1):47-56. doi: 10.1016/0022-510x(95)00322-s.
4
Prevalence and risk factors of incontinence after stroke. The Copenhagen Stroke Study.
Stroke. 1997 Jan;28(1):58-62. doi: 10.1161/01.str.28.1.58.
5
Causes of urinary incontinence after acute hemispheric stroke.
Stroke. 1993 Mar;24(3):378-82. doi: 10.1161/01.str.24.3.378.
8
Urodynamic studies on hemiplegic patients after cerebrovascular accident.
Urology. 1983 Mar;21(3):315-8. doi: 10.1016/0090-4295(83)90099-7.
9
Incidence and correlates of incontinence in stroke patients.
J Am Geriatr Soc. 1985 Aug;33(8):540-2. doi: 10.1111/j.1532-5415.1985.tb04618.x.
10
Urinary incontinence after stroke: a prospective study.
Age Ageing. 1986 May;15(3):177-81. doi: 10.1093/ageing/15.3.177.

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍。

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索

文档翻译

学术文献翻译模型,支持多种主流文档格式。

立即体验