Yokoyama O, Hasegawa T, Ishiura Y, Ohkawa M, Sugiyama Y, Izumida S
Department of Urology, School of Medicine, Kanazawa University, Toyama, Japan.
J Urol. 1996 Jan;155(1):271-4.
We investigated factors predictive of morphological and functional deterioration of the bladder in patients with spinal cord injury.
Urological evaluation, including excretory urography and urodynamic studies, was performed once a year in 66 patients. Bladder compliance was used as an index of bladder function.
Mean age of the patients with worsening bladder form and function was significantly greater than that of those with no change. In patients with worsening bladder function intermittent catheterization was performed less frequently and mean catheterization volume was greater compared to those with improvement and no change. Catheterization was less frequent and at long intervals in patients with a high urethral closure pressure.
High storage pressure due to a high urethral closure pressure is believed to cause deterioration of bladder form and function.
我们研究了脊髓损伤患者膀胱形态和功能恶化的预测因素。
对66例患者每年进行一次泌尿外科评估，包括排泄性尿路造影和尿动力学研究。膀胱顺应性用作膀胱功能指标。
膀胱形态和功能恶化患者的平均年龄显著高于无变化患者。与功能改善和无变化的患者相比，膀胱功能恶化患者的间歇性导尿频率较低，平均导尿量较大。尿道闭合压高的患者导尿频率较低且间隔时间较长。
尿道闭合压高导致的高储存压力被认为会引起膀胱形态和功能的恶化。
