Krongrad A, Sotolongo J R
Department of Urology, The Mount Sinai Medical Center, New York 10029, USA.
Am J Phys Med Rehabil. 1996 May-Jun;75(3):204-7. doi: 10.1097/00002060-199605000-00011.
Urodynamic evaluations were performed in 43 male patients with spinal cord injuries, before any therapeutic decisions, and a minimum of 5 mo following the injury. Results were subdivided according to level of injury. Mean detrusor contraction pressures, incidence of detrusor-sphincter dysynergia (DSD), and incidence of detrusor-bladder neck dysynergia (DBND) were calculated. The incidence pattern of DBND was found to follow closely the incidence pattern of DSD, with the highest incidence among the upper thoracic injuries, considerably more than among the cervical injuries. A significantly higher resting detrusor pressure differential was found among the patients with DBND. This was felt to represent sympathetic dysfunction and poor accommodation and is proposed to be secondary to adrenergic detrusor neoinnervation.
对43例脊髓损伤男性患者在做出任何治疗决定之前以及损伤后至少5个月进行了尿动力学评估。结果根据损伤水平进行细分。计算了平均逼尿肌收缩压、逼尿肌-括约肌协同失调（DSD）的发生率和逼尿肌-膀胱颈协同失调（DBND）的发生率。发现DBND的发生率模式与DSD的发生率模式密切相关，在上胸部损伤中发生率最高，远高于颈部损伤。在患有DBND的患者中发现静息逼尿肌压力差异显著更高。这被认为代表交感神经功能障碍和顺应性差，并被认为是肾上腺素能逼尿肌重新神经支配的继发结果。
