Itoh K, Yamaguchi O, Fukaya Y, Shiraiwa Y
Department of Urology, Atami General Hospital.
Hinyokika Kiyo. 1987 Sep;33(9):1469-73.
A 43-year-old woman with anterior spinal artery syndrome was admitted with complaints of tetraplegia and urinary retention. Her bladder had capacity of more than 500 ml and was inactive, with low voltage of external urethral sphincter. She was treated with distigmine bromide and intermittent catheterization. 50 days later, urodynamic study showed normal bladder and incomplete coordination of external sphincter. A 78-year-old man had chief complaints of urinary retention and paraplegia. A catheter was left indwell for 6 months. Then he was treated with intermittent catheterization, but urgency incontinence was still observed. We discussed the therapy of neurogenic bladder due to the anterior spinal artery syndrome.
一名患有脊髓前动脉综合征的43岁女性因四肢瘫痪和尿潴留入院。她的膀胱容量超过500毫升且无收缩功能,尿道外括约肌电压低。她接受了溴化斯的明治疗和间歇性导尿。50天后,尿动力学研究显示膀胱正常但外括约肌协调性不全。一名78岁男性主要因尿潴留和截瘫就诊。留置导尿管6个月。之后他接受了间歇性导尿治疗,但仍存在急迫性尿失禁。我们讨论了脊髓前动脉综合征所致神经源性膀胱的治疗。