Harrison Simon C W
Department of Urology, Pinderfields Hospital, Wakefield, West Yorkshire, UK.
Indian J Urol. 2010 Apr;26(2):245-52. doi: 10.4103/0970-1591.65399.
This review sets out to provide an overview of the author's approach to the management of the urinary tract in the patient who has suffered from an injury to their spinal cord. Emphasis is given to the need to understand the fundamental pathophysiological patterns that are seen with injuries that involve the sacral segments of the cord (the conus) and those that spare the conus but interrupt communication between the sacral parasympathetic and somatic centers and the brain (supraconal lesions). The importance of patient participation in management decisions is highlighted by considering the different ways in which the urinary tract can be managed and how the clinician needs to try to meet patient expectations and requirements while establishing safe urological management. Finally, consideration is given to the importance of establishing an appropriate follow up regime and managing urinary tract complications effectively.
本综述旨在概述作者对脊髓损伤患者尿路管理的方法。重点强调了理解基本病理生理模式的必要性，这些模式见于涉及脊髓骶段（圆锥）的损伤以及未累及圆锥但中断骶副交感神经和躯体中枢与大脑之间联系的损伤（圆锥以上病变）。通过考虑尿路管理的不同方式以及临床医生在建立安全的泌尿外科管理时如何努力满足患者的期望和需求，突出了患者参与管理决策的重要性。最后，阐述了建立适当随访制度和有效处理尿路并发症的重要性。
