Gebhardt K, Göcking K
Rehabilitationszentrum für Querschnittsgelähmte, der Urologischen Abteilung, Maxim-Zetkin-Krankenhauses Nordhausen.
Z Urol Nephrol. 1988 Jun;81(6):351-7.
The urographic follow-up series of 453 patients of a paraplegic rehabilitation center are checked to obstructive uropathies. In 33 patients (7.3%) mostly asymptomatic obstructions were found. The onset of the urinary transport disorder is in 71% of the patients in the first year after the accident. Therefore, roentgenological and urodynamical investigations are necessary in the first years after the paralysis. The urological follow-up must be done for life as secondary morphological changes of the urinary tract are the cause of late obstructions. The prognosis of urinary transport disorders of the upper urinary tract is favourable in the case of timely and purposeful treatment. The development of a high-pressure system of the urinary bladder is the most important causal factor for qualified urodynamical diagnostic measures. Therefore, the therapeutic influence on the development of this high-pressure system is important in the prophylaxis and therapy of urinary obstruction.
对一家截瘫康复中心的453例患者进行了泌尿系统造影随访，以检查是否存在梗阻性尿路病。在33例患者（7.3%）中发现了大多无症状的梗阻。71%的患者在事故后的第一年出现尿流运输障碍。因此，在瘫痪后的头几年进行放射学和尿动力学检查是必要的。由于尿路的继发性形态学改变是晚期梗阻的原因，因此必须进行终身的泌尿外科随访。如果及时且有针对性地治疗，上尿路尿流运输障碍的预后良好。膀胱高压系统的形成是进行有效尿动力学诊断措施的最重要因果因素。因此，对这种高压系统形成的治疗性影响在尿路梗阻的预防和治疗中很重要。
