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尿动力学研究在脊柱裂患者诊断和治疗中的作用。

The role of urodynamic studies in the diagnosis and treatment of patients with spina bifida.

作者信息

Alatas I, Demirci H, Canaz Huseyin, Akdemir O, Baydin S, Ozel K

机构信息

Spina Bifida Center, Florence Nightingale Bilim University, Istanbul, Turkey.

Department of Neurosurgery, Cizre State Hospital, Cizre, Turkey.

出版信息

Asian J Neurosurg. 2015 Apr-Jun;10(2):83-6. doi: 10.4103/1793-5482.154872.

Abstract

AIM

Spina bifida (SB) is a congenital deformity that is frequently seen in infancy. Surgical treatment and clinical follow-up of patients with the diagnosis of SB are important to provide education to the patients and their relatives, to increase patient survival, to ensure that they have a more comfortable life. Neuro-urological problems are highly important for the patients in terms of both social and medical.

MATERIALS AND METHODS

The medical records of patients who underwent surgery for SB and tethered cord syndrome at our clinic in the past year were retrospectively evaluated. The results of urodynamic studies of the patients were evaluated. The results of patients who underwent control urodynamic studies during the follow-up period were compared with the previous results, and their clinical courses were determined.

RESULTS

The most frequent urodynamic changes in patients were hyperactive detrusor activity and detrusor sphincter dyssynergy preoperatively.

CONCLUSION

A significant improvement was observed when the results of postoperative urodynamic studies were evaluated in patients who underwent surgery for tethered cord.

摘要

目的

脊柱裂(SB)是一种在婴儿期常见的先天性畸形。对诊断为SB的患者进行手术治疗和临床随访对于向患者及其亲属提供教育、提高患者生存率、确保他们拥有更舒适的生活至关重要。神经泌尿问题对患者的社会和医疗方面都极为重要。

材料与方法

回顾性评估过去一年在我院接受SB和脊髓拴系综合征手术的患者的病历。评估患者的尿动力学研究结果。将随访期间接受对照尿动力学研究的患者结果与先前结果进行比较,并确定其临床病程。

结果

患者最常见的尿动力学变化是术前逼尿肌活动亢进和逼尿肌括约肌协同失调。

结论

对接受脊髓拴系手术的患者术后尿动力学研究结果进行评估时,观察到显著改善。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4fff/4421973/30f4de2667fd/AJNS-10-83-g003.jpg

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