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神经源性膀胱的诊断和临床评估。

Diagnosis and clinical evaluation of neurogenic bladder.

机构信息

Clinical Research Group in Neurourology (GREEN), GRC 01, AP-HP, Pierre et Marie Curie University, Sorbonne Universities, Service of Neurourology, Tenon Hospital, Paris, France -

Clinical Research Group in Neurourology (GREEN), GRC 01, AP-HP, Pierre et Marie Curie University, Sorbonne Universities, Service of Neurourology, Tenon Hospital, Paris, France.

出版信息

Eur J Phys Rehabil Med. 2017 Dec;53(6):975-980. doi: 10.23736/S1973-9087.17.04992-9. Epub 2017 Oct 25.

Abstract

Neurologic diseases lead to urinary dysfunctions. The aim of this article was to present an overview of diagnosis and evaluation of neurogenic bladder with a special focus on urodynamic tests. Overactive bladder, with high detrusor pressure associated with detrusor sphincter dyssynergia, can lead to severe complications with renal failure, upper urinary tract dilatation and infectious complications. Underactive bladder with voiding dysfunction and urinary retention, is also a risk factor of urological alterations. Full clinical examinations, including urodynamics and selective radiographic imaging studies, are essential to best manage these patients.

摘要

神经疾病可导致尿功能障碍。本文旨在概述神经原性膀胱的诊断和评估,特别关注尿动力学检查。逼尿肌过度活动伴有逼尿肌括约肌协同失调相关的高逼尿肌压力,可导致严重并发症,如肾衰竭、上尿路扩张和感染性并发症。排尿功能障碍和尿潴留导致的逼尿肌活动低下也是泌尿系统改变的一个危险因素。全面的临床检查,包括尿动力学和选择性放射影像学研究,对于这些患者的最佳管理至关重要。

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