Hashizume C, Fukui J
Nagano Rehabilitation Centre, Japan.
Paraplegia. 1994 May;32(5):354-7. doi: 10.1038/sc.1994.60.
A follow up study of urological management was carried out on 38 cervical spinal cord injury patients who were admitted to the Nagano Rehabilitation Centre Hospital and whose surgical reconstructions of their paralytic hands were performed since 1977. Self catheterisation was possible after reconstructive hand surgery in patients whose lowest functioning cord segment was C5-6. All of them had been unable to perform self catheterisation before surgery. Handling of instruments related to the act of urination was possible in two patients where the lowest functioning cord segment was C6-7 and where ileal conduit formation and reconstructive hand surgery had been performed.
对38例颈椎脊髓损伤患者进行了泌尿外科治疗的随访研究，这些患者自1977年起入住长野康复中心医院，并接受了瘫痪手部的外科重建手术。对于最低功能脊髓节段为C5 - 6的患者，手部重建手术后可以进行自我导尿。术前他们均无法进行自我导尿。对于最低功能脊髓节段为C6 - 7且已进行回肠造瘘术和手部重建手术的两名患者，他们能够操作与排尿行为相关的器械。
