Morphological and functional factors predicting bladder deterioration after spinal cord injury
Morphological and functional factors predicting bladder deterioration after spinal cord injury
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DOI：
10.1016/s0022-5347(01)66616-3
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发表时间：
1996-01-01
影响因子：
6.6
通讯作者：
Izumida, S
中科院分区：
文献类型：
--
作者：
Yokoyama, O;Hasegawa, T;Izumida, S
目的：我们探讨脊髓损伤患者膀胱形态和功能恶化的预测因素。材料和方法：泌尿系评价，包括排泄性尿路造影和尿动力学研究，每年进行一次，在66例患者。结果：膀胱形态和功能恶化组患者的平均年龄明显大于无变化组。膀胱功能恶化的患者间歇导尿的频率较低，平均导尿量大于改善和无变化的患者。导尿是不太频繁，在长时间间隔的患者与高尿道闭合pressure.Conclusions：高存储压力，由于高尿道闭合压力被认为是导致恶化的膀胱的形式和功能。
Purpose: We investigated factors predictive of morphological and functional deterioration of the bladder in patients with spinal cord injury.Materials and Methods: Urological evaluation, including excretory urography and urodynamic studies, was performed once a year in 66 patients. Bladder compliance was used as an index of bladder function.Results: Mean age of the patients with worsening bladder form and function was significantly greater than that of those with no change. In patients with worsening bladder function intermittent catheterization was performed less frequently and mean catheterization volume was greater compared to those with improvement and no change. Catheterization was less frequent and at long intervals in patients with a high urethral closure pressure.Conclusions: High storage pressure due to a high urethral closure pressure is believed to cause deterioration of bladder form and function.