Alagöl B, Hüseyin I, Kaya E, Inci O, Aydin S, Oner A
Department of Urology, Trakya University, Medical Faculty, Edirne, Turkey.
Int Urol Nephrol. 1995;27(3):267-74. doi: 10.1007/BF02564761.
Spinal cord injury, regardless of its level, causes flaccid paralysis during the shock phase affecting the detrusor and rectal musculature. Then, depending on the level and severity of the lesion, the bladder gains spasticity or remains flaccid. Monitoring the reflex behaviour of detrusor and sphincter activities helps to select the treatment modalities. Thirty patients with cord injuries of various levels have been urodynamically tested at 3-month intervals. The shock phase of the acutely tested patients lasted about 8-9 weeks. Eventually, 23 of the cases were hyperreflexic, while 7 cases remained areflexic: 2 had detrusor-sphincter dyssynergia. The response to treatment has been investigated by cystometrographical and electromyographical methods.
脊髓损伤，无论其损伤平面如何，在休克期都会导致影响逼尿肌和直肠肌肉组织的弛缓性麻痹。然后，根据损伤的平面和严重程度，膀胱会出现痉挛或保持弛缓状态。监测逼尿肌和括约肌活动的反射行为有助于选择治疗方式。对30例不同平面脊髓损伤的患者每隔3个月进行一次尿动力学检测。急性检测患者的休克期持续约8 - 9周。最终，23例为反射亢进，7例无反射：2例存在逼尿肌-括约肌协同失调。已通过膀胱测压和肌电图方法研究了治疗反应。
