Department of Urology, Seoul National University Bundang Hospital, 300 Gumi-dong, Bundang-gu, Seongnam-si, Seongnam, 463-707, Korea.
Urol Clin North Am. 2010 Nov;37(4):537-46. doi: 10.1016/j.ucl.2010.06.005.
This article reviews neurogenic bladder related to traumatic injury as well as vascular lesion of brain/spinal cord. Because urological manifestations of traumatic or vascular brain/spinal cord injury are highly diversified and complex, the approaches to achieve accurate diagnosis and administer proper treatment can be complicated. The goal of primary treatment is preservation of renal function and attainment of social continence. Maintaining low intravesical pressure and adequate bladder emptying are central to the treatment strategy. Diagnosis and appropriate urological management of these disease entities should depend on urodynamic studies because of poor correlation between clinical symptoms or somatic neurologic signs and urodynamic findings.
本文回顾了与创伤性损伤以及脑/脊髓血管病变相关的神经性膀胱。由于创伤性或脑/脊髓血管损伤的尿动力学表现高度多样化且复杂，因此实现准确诊断和适当治疗的方法可能会很复杂。主要治疗目标是保护肾功能和实现社会自理。保持低膀胱内压和充分排空膀胱是治疗策略的核心。由于临床症状或躯体神经病学体征与尿动力学检查结果之间相关性差，因此这些疾病实体的诊断和适当的泌尿科管理应取决于尿动力学研究。
