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神经源性膀胱功能障碍中膀胱容量在控尿和排尿方面的意义。

The significance of bladder capacity under aspect of continence and micturition in neurogenic bladder dysfunction.

作者信息

Heering H, Palmtag H, Paeslack V

出版信息

Urol Int. 1978;33(5):310-5. doi: 10.1159/000280216.

DOI:10.1159/000280216
PMID:705982
Abstract

The bladder capacity of patients with a neurogenic bladder disorder was determined. Since the bladder capacity varies according to the type of neurogenic lesion (supranuclear, infranuclear), it was to be determined, whether reflex detrusor activity and duration of the lesion would influence bladder capacity. It was found that in supranuclear lesions s sufficient bladder capacity can be maintained with a balanced micturition, and that spincterotomy does not result in reduced bladder capacity. In infranuclear lesions intermittent catheterization is a good therapeutic method to preserve continence and an intact renal function as well.

摘要

测定了神经源性膀胱功能障碍患者的膀胱容量。由于膀胱容量根据神经源性病变的类型(核上性、核下性)而有所不同,因此需要确定反射性逼尿肌活动和病变持续时间是否会影响膀胱容量。结果发现,在核上性病变中,通过平衡排尿可以维持足够的膀胱容量,并且括约肌切开术不会导致膀胱容量减少。在核下性病变中,间歇性导尿是一种保持尿失禁和完整肾功能的良好治疗方法。

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