Managing the urinary tract in spinal cord injury.
Managing the urinary tract in spinal cord injury.
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DOI：
10.4103/0970-1591.65399
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发表时间：
2010-04
期刊：
影响因子：
--
通讯作者：
Harrison SC
中科院分区：
文献类型：
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作者：
Harrison SC
这篇综述旨在概述作者对脊髓损伤患者的尿路管理方法。强调需要了解涉及脊髓骶段（圆锥）的损伤以及那些保留圆锥但中断骶副交感神经和躯体中心与大脑之间的交流的损伤（圆锥上病变）所见的基本病理生理学模式。通过考虑泌尿道管理的不同方式以及临床医生在建立安全泌尿管理的同时需要如何努力满足患者的期望和要求，强调了患者参与管理决策的重要性。最后，考虑建立适当的随访制度和有效管理尿路并发症的重要性。
This review sets out to provide an overview of the author’s approach to the management of the urinary tract in the patient who has suffered from an injury to their spinal cord. Emphasis is given to the need to understand the fundamental pathophysiological patterns that are seen with injuries that involve the sacral segments of the cord (the conus) and those that spare the conus but interrupt communication between the sacral parasympathetic and somatic centers and the brain (supraconal lesions). The importance of patient participation in management decisions is highlighted by considering the different ways in which the urinary tract can be managed and how the clinician needs to try to meet patient expectations and requirements while establishing safe urological management. Finally, consideration is given to the importance of establishing an appropriate follow up regime and managing urinary tract complications effectively.