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[神经源性膀胱功能障碍的诊断]

[Diagnosis of neurogenic bladder dysfunction].

作者信息

Kaufmann A, Kurze I

机构信息

Zentrum für Kontinenz und Neuro-Urologie, Kliniken Maria Hilf GmbH, Mönchengladbach, Viersener Straße 450, 41063 Mönchengladbach, Deutschland.

出版信息

Urologe A. 2012 Feb;51(2):168-78. doi: 10.1007/s00120-011-2784-3.

DOI:10.1007/s00120-011-2784-3
PMID:22331071
Abstract

Patients with congenital and acquired neurogenic bladder dysfunction due to central and peripheral nervous lesions are significantly limited in their daily lives. The neurogenic dysfunction of the bladder and lower urinary tract are often misinterpreted and later fed to a diagnosis. Without therapy severe complications, including renal damage, could be the consequence in the follow up. Therefore, dedicated diagnostics have to be done to recognize the different disorders and to determine the specific therapy. For these patients a lifelong bladder monitoring and neuro-urological management is necessary. This article describes techniques of neuro-urological testings and the interpretation in case of neurogenic disorders.

摘要

由于中枢和周围神经病变导致先天性和后天性神经源性膀胱功能障碍的患者在日常生活中受到极大限制。膀胱和下尿路的神经源性功能障碍常常被误解,随后才得以确诊。若不进行治疗,后续可能会导致包括肾损伤在内的严重并发症。因此,必须进行专门的诊断以识别不同的病症并确定具体的治疗方法。对于这些患者而言,终身膀胱监测和神经泌尿学管理是必要的。本文介绍了神经泌尿学检测技术以及神经源性疾病的解读方法。

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本文引用的文献

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Women overestimate daytime urinary frequency: the importance of the bladder diary.女性高估日间尿频情况:膀胱日记的重要性。
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[Neuromuscular dysfunction of the lower urinary tract dysfunction beyond spinal cord injury and multiple sclerosis. A challenge for urologists].[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]
Urologe A. 2008 Sep;47(9):1097-8, 1100-2, 1104-5. doi: 10.1007/s00120-008-1850-y.
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BMC Urol. 2006 Dec 27;6:31. doi: 10.1186/1471-2490-6-31.
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Increase in detrusor wall thickness indicates bladder outlet obstruction (BOO) in men.逼尿肌壁厚度增加表明男性存在膀胱出口梗阻(BOO)。
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Good urodynamic practices: uroflowmetry, filling cystometry, and pressure-flow studies.良好的尿动力学检查实践:尿流率测定、膀胱充盈测压法及压力-流率研究。
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