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骶骨脊索瘤患者肠道和膀胱功能障碍的管理:基于病例的方法。

Managing bowel and bladder impairments in sacral chordoma patients: a case-based approach.

作者信息

Knowlton Sasha E, Andrews Cody, Bindler Corey, Ruppert Lisa M

机构信息

1Rehabilitation Medicine Service, Department of Neurology, Memorial Sloan-Kettering Cancer Center, New York, NY USA.

2Department of Rehabilitation Medicine, Weill Cornell Medical College, New York, NY USA.

出版信息

Spinal Cord Ser Cases. 2017 Dec 12;3:17094. doi: 10.1038/s41394-017-0016-9. eCollection 2017.

Abstract

INTRODUCTION

Chordomas are primary bone tumors that occur in the axial spine and most commonly in the sacrum. Because of their location, chordomas can affect bowel and bladder continence resulting in either an upper or a lower motor neuron functional pattern.

CASE PRESENTATION

We present two cases describing chordoma's impact on bowel and bladder function and the management plan used for improvement.

DISCUSSION

The accurate identification of an upper or lower motor neuron pattern in the setting of chordoma aims to significantly improve management of bowel and bladder impairment.

摘要

引言

脊索瘤是一种原发性骨肿瘤,发生于中轴脊柱,最常见于骶骨。由于其位置特殊,脊索瘤可影响肠道和膀胱的控尿功能,导致上运动神经元或下运动神经元功能模式。

病例报告

我们展示了两个病例,描述了脊索瘤对肠道和膀胱功能的影响以及所采用的改善管理方案。

讨论

在脊索瘤病例中准确识别上运动神经元或下运动神经元模式,旨在显著改善肠道和膀胱功能障碍的管理。

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