《中国康复理论与实践》

《中国康复理论与实践》

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脊髓损伤后神经源性逼尿肌过度活动的神经调节疗法①

张芹1，洪毅1,2，王方永1,2，刘舒佳1,2   

  1. 1.首都医科大学康复医学院，北京市100068；2.中国康复研究中心北京博爱医院脊柱脊髓外科，北京市100068。
  • 出版日期:2016-08-25 发布日期:2016-09-22

Neuromodulation Therapy for Neurogenic Detrusor Overactivity after Spinal Cord Injury (review)

ZHANG Qin1, HONG Yi1,2, WANG Fang-yong1,2, LIU Shu-jia1,2   

  1. 1. Capital Medical University School of Rehabilitation Medicine, Beijing 100068, China; 2. Department of Spine and Spinal Cord Surgery, Beijing Bo'ai Hospital, China Rehabilitation Research Centre, Beijing 100068, China
  • Published:2016-08-25 Online:2016-09-22

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摘要： 脊髓损伤后，很多患者出现逼尿肌过度活动，常常引起泌尿道感染、膀胱输尿管返流，甚至肾衰竭，严重影响患者的生活质量。本文结合脊髓损伤后膀胱逼尿肌过度活动的发生机制、一般治疗方法及神经调节疗法进行综述，并分别对经皮胫后神经调节、阴部神经调节和骶神经调节展开阐述。

关键词: 脊髓损伤, 神经源性逼尿肌过度活动, 神经调节, 综述

Abstract: Neurogenic detrusor overactivity (NDO) often occurs after spinal cord injury, which often causes urinary tract infection, vesicoureteral reflux, or even renal failure, and seriously impacts on the patient's quality of life. This paper reviewed the mechanism, the common treatment methods, and neuromodulation theray of NDO after spinal cord injury, and elaborated percutaneous posterior tibial nerve stimulation, pudendal nerve regulation and the sacral neuromodulation respectively.

Key words: spinal cord injury, neurogenic detrusor overactivity, neuromodulation, review