Fontaine E, Hajri M, Rhein F, Fakacs C, Le Mouel M A, Beurton D
Department of Urology, Ambroise Pare Hospital, University of West Paris, Boulogne, France.
J Urol. 1996 Jan;155(1):277-80.
We assessed the results of endoscopic sphincterotomy in patients with detrusor-sphincter dyssynergia secondary to spinal cord injury.
A prospective study was done of 92 patients with a mean followup of 20.6 months.
The morbidity rate was 10.9%. Results demonstrated objective (assessed by the decrease in voiding pressure) and subjective (expressed by the patient) improvement in quality of micturition in 83.7% and 73% of the cases, respectively. Subjective autonomic dysreflexia resolved in 93.2% of the cases.
Sphincterotomy is a useful and effective therapeutic method for neurogenic bladder when all available pharmacological treatments and clean intermittent catheterization have failed.
我们评估了脊髓损伤继发逼尿肌-括约肌协同失调患者的内镜下括约肌切开术的结果。
对92例患者进行了前瞻性研究，平均随访20.6个月。
发病率为10.9%。结果显示，分别有83.7%和73%的病例排尿质量在客观上（通过排尿压力降低评估）和主观上（由患者表述）得到改善。93.2%的病例主观自主神经反射异常得到缓解。
当所有可用的药物治疗和清洁间歇性导尿均失败时，括约肌切开术是治疗神经源性膀胱的一种有用且有效的治疗方法。
