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小儿麻痹后遗症的泌尿系统表现。

Urologic manifestations of postpolio syndrome.

作者信息

Johnson V Y, Hubbard D, Vordermark J S

出版信息

J Wound Ostomy Continence Nurs. 1996 Jul;23(4):218-23. doi: 10.1016/s1071-5754(96)90094-7.

DOI:10.1016/s1071-5754(96)90094-7
PMID:8900675
Abstract

To determine the character and prevalence of bladder dysfunction among persons with a history of polio, we conducted a survey of randomly selected polio survivors. The survey solicited information on the acute episode of polio and the nature of late-onset neurologic symptoms that could be attributed to postpolio syndrome. There were 242 female and 88 male respondents to the study. Symptoms attributable to postpolio syndrome were present in 87.2% of female subjects and 73.9% of male subjects. Respondents with postpolio syndrome had a significantly greater prevalence of urologic symptoms than seen among respondents without postpolio syndrome, although no dominant pattern of voiding dysfunction was noted. The early onset of erectile dysfunction was more common among male subjects with postpolio syndrome than among male subjects without postpolio syndrome. Genuine stress incontinence was seen in 36.3% of the survey population. Sixteen women with postpolio syndrome underwent surgical repair for urinary incontinence, with a success rate of 60.5%. Bladder disorders are common among persons with PPS, but further clinical and urodynamic data are necessary to define the nature and magnitude of this dysfunction.

摘要

为了确定有小儿麻痹症病史的人群中膀胱功能障碍的特征和患病率,我们对随机抽取的小儿麻痹症幸存者进行了一项调查。该调查收集了有关小儿麻痹症急性发作以及可能归因于小儿麻痹后遗症的迟发性神经症状性质的信息。该研究有242名女性和88名男性受访者。小儿麻痹后遗症所致症状在87.2%的女性受试者和73.9%的男性受试者中出现。患有小儿麻痹后遗症的受访者泌尿系统症状的患病率明显高于无小儿麻痹后遗症的受访者,尽管未发现排尿功能障碍的主要模式。小儿麻痹后遗症男性受试者中勃起功能障碍的早发比无小儿麻痹后遗症的男性受试者更常见。真性压力性尿失禁在36.3%的调查人群中出现。16名患有小儿麻痹后遗症的女性接受了尿失禁手术修复,成功率为60.5%。膀胱疾病在小儿麻痹后遗症患者中很常见,但需要进一步的临床和尿动力学数据来确定这种功能障碍的性质和严重程度。

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