Stöhrer M
Urologe A. 1981 Mar;20(2):78-84.
The development of modern urodynamic examinations permits improved differentiation of bladder voiding disturbances in paraplegic patients. This allows surgical approaches to be more specific and individually oriented. Transurethral intervention at the closure mechanism of the urethra is indicated prior to the appearance of secondary alterations of the urinary tract. Surgical intervention should bring about bladder emptying in which the pressure-flow relationship approaches nearly physiologic values. Even when advanced secondary alterations are present, effective improvement is possible under avoidance of major surgery. It is preferable to bring these patients together in specialized departments. Regular, annual urodynamic follow-up investigations are important since they appear to improve the prognosis of the paraplegic patient.
现代尿动力学检查的发展有助于更好地区分截瘫患者的膀胱排尿障碍。这使得手术方法更具针对性且以个体为导向。在尿路出现继发性改变之前，应对尿道闭合机制进行经尿道干预。手术干预应实现膀胱排空，使压力 - 流量关系接近生理值。即使存在晚期继发性改变，在避免进行大型手术的情况下也有可能实现有效改善。将这些患者集中在专科科室治疗更为可取。定期进行年度尿动力学随访检查很重要，因为这似乎可以改善截瘫患者的预后。
