《中国康复理论与实践》

《中国康复理论与实践》 ›› 2007, Vol. 13 ›› Issue (07): 611-612.

• 专题　神经源性膀胱及不尿路管理 • 上一篇    下一篇

腰椎间盘突出症术后神经源性膀胱的影像尿动力学评估

梁文立1,2; 廖利民1,2; 鞠彦合1,2   

  1. 1.中国康复研究中心北京博爱医院泌尿外科,北京市 100068;2.首都医科大学康复医学院,北京市 100068
  • 收稿日期:2007-04-26 出版日期:2007-07-01 发布日期:2007-07-01

Videourodynamic Study in Neurogenic Bladder after Operation for Lumbar Intervertebral Disk Hernia

LIANG Wen-li, LIAOLi-min,JU Yan-he   

  1. Department of Urology, Beijing Charity Hospital, China Rehabilitation Research Center, School of Rehabilitation,Capital Medical University, Beijing 100068, China
  • Received:2007-04-26 Published:2007-07-01 Online:2007-07-01

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摘要： 目的了解腰椎间盘突出症术后引起的神经源性膀胱的尿动力学表现。方法回顾性分析腰椎间盘突出症术后引起的神经源性膀胱功能障碍25例患者的尿动力学检查结果。以腰椎间盘突出部位将患者分为L4-5和L5-S1两组,以鞍区感觉检查结果分为存在、减弱和消失3组,进行统计分析。结果L4-5及L5-S1两组间,膀胱感觉、膀胱顺应性、膀胱稳定性、膀胱颈开放程度、膀胱容量和尿道压力均无显著性差异(P>0.05),两组的鞍区感觉也无显著性差异(P=0.51)。膀胱感觉和尿道压力在不同鞍区感觉组之间有显著性差异(P<0.05)。结论尿动力学表现似与腰椎间盘突出的病位无关;鞍区感觉情况可能提示膀胱感觉和静息尿道压力的状态。腰椎间盘突出病引起的尿动力表现的神经生理学机制仍待进一步阐明。

关键词: 腰椎间盘症, 神经源性膀胱, 影像尿动力学

Abstract: Objective To explore the videourodynamic manifestation of neurogenic bladder after operation for lumbar intervertebral disk hernia. Methods A consecutive series of 25 patients with neurogenic bladder dysfunction after operation for lumbar intervertebral disk hernia were analysed retrospectively. They were respectively divided into L4-5 and L5-S1 groups according to the focus, or normal, injured and no-drawn groups according to saddle sensation. Their videourodynamic manifestation were analyzed statistically. Results Videourodynamic manifestation including bladder sensation,bladder compliance, stability, bladder neck's opening extent, bladder capacity and urethral pressures were not significantly different between the group L4-5 and L5-S1 (P>0.05), nor was the saddle sensation (P=0.51). But the bladder sensation and urethral pressures were related with the saddle sensation (P<0.05). Conclusion The videourodynamic changes may not be related with the focus, but the saddle sensation in patients after operation for lumbar intervertebral disk hernia, which need further elucidation.

Key words: lumbar intervertebral disk hernia, neruogenic bladder, videourodynamics