Begara Morillas F J, Salinas Casado J, Silmi Moyano A, Espinosa Fernández B, Fernández Lucas C, Roca Arbones V, Resel Estévez L
Cátedra y Servicio de Urología, Unidad de SIDA, Hospital Universitario San Carlos, Madrid, España.
Arch Esp Urol. 1995 Nov;48(9):915-21.
Ten patients with AIDS and voiding disorders were assessed to determine the most common type of lower urinary tract dysfunction and its possible usefulness in detecting neurological disease.
A complete urodynamic evaluation was performed.
The most common symptom was urge incontinence and the most common urodynamic finding was detrusor-external sphincter dyssynergia. Of the 5 patients found to have a neurological disorder, only 3 had demonstrable functional disorder of the lower urinary tract (2 patients had detrusor hyperreflexia: one of them had a history of encephalopathy from HIV and the other patient had polyneuritis; the third patient had myelitis and a urodynamically diagnosed sympathetic decentration.
Knowing the functional disorders of patients with AIDS can avoid complications and improve patient quality of life. Furthermore, it can be useful in detecting an existing neurological lesion or one that may develop in the future.
对10例患有艾滋病且存在排尿障碍的患者进行评估，以确定下尿路功能障碍的最常见类型及其在检测神经疾病方面的潜在作用。
进行了全面的尿动力学评估。
最常见的症状是急迫性尿失禁，最常见的尿动力学表现是逼尿肌-外括约肌协同失调。在5例被发现患有神经疾病的患者中，只有3例存在可证实的下尿路功能障碍（2例患者有逼尿肌反射亢进：其中1例有HIV相关性脑病病史，另1例有多发神经炎；第3例患者有脊髓炎，尿动力学诊断为交感神经去传入）。
了解艾滋病患者的功能障碍可避免并发症并提高患者生活质量。此外，它有助于检测现有的神经病变或未来可能发生的神经病变。
