| 骨盆骨折术后神经源性膀胱的尿流动力学评估 |
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投稿时间：2009-12-23
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| 作者 | Author | 单位 | Address | E-Mail |
| 樊留博 |
FAN Liu-bo |
台州医院临海院区康复医学科,浙江 台州 317000 |
epartment of Rehabilitation Medicine,Linhai District of Taizhou Hospital,Taizhou 317000,Zhejiang,China |
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| 马利中 |
MA Li-zhong |
台州医院临海院区康复医学科,浙江 台州 317000 |
epartment of Rehabilitation Medicine,Linhai District of Taizhou Hospital,Taizhou 317000,Zhejiang,China |
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| 田瑛 |
TIAN Ying |
台州医院临海院区康复医学科,浙江 台州 317000 |
epartment of Rehabilitation Medicine,Linhai District of Taizhou Hospital,Taizhou 317000,Zhejiang,China |
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| 期刊信息：《中国骨伤》2010年，第23卷，第4期，第285-287页 |
| DOI：10.3969/j.issn.1003-0034.2010.04.015 |
| 基金项目: |
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中文摘要:
目的：探讨尿流动力学检查对骨盆骨折术后神经源性膀胱的预后估价作用。
方法：12例骨盆骨折术后尿潴留患者(男8例，女4例，年龄26～70岁，平均46.5岁)分别在术后1 d、1、3周3个不同时间点进行尿动力学检查分析，并与12例正常受试者进行对比。
结果：12例患者逼尿肌收缩力、最大尿流率、膀胱容量、残余尿的异常与术后1 d、1、3周3个不同阶段存在一定相关性，患者在术后1 d、1、3周残余尿、膀胱容量、最大逼尿肌收缩压、排尿压均较正常组明显升高(P<0.05),但最大尿流率明显下降(P<0.05);在尿潴留组中，术后1周与术后1 d、3周比较，膀胱容量升高(P<0.05),残余尿明显升高(P<0.05),最大逼尿肌收缩压、排尿压均明显降低 (均P<0.05),最大尿流率无明显变化(P>0.05).
结论：将尿流动力学定量的各指标进行综合分析可最大程度地提高判断骨盆骨折术后神经源性膀胱预后的准确率，并为早期客观地评价排尿困难程度提供一个量化评估指标。 |
| 【关键词】尿潴留 尿动力学 预后 临床对照试验 |
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| Clinical application of urodynamic study in patients with neurogenic bladder by pelvic fracture postoperative |
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ABSTRACT
Objective: To explore the clinical value of urodynamic study in patients with neurogenic bladder by pelvic fracture postoperative.
Methods: Postoperative 12 cases with pelvic fracture resulted in uroschesis,there were 8 males and 4 females,and age from 26 to 70 years with an average of 46.5 years. Urodynamic study was done in patients at 1 d,1,3 weeks after operation and compared with 12 cases normal subjects.
Results: There was a significant relationship between urodynamic parameter(including residual urine volume of bladder,max free flow,urethral closing pressure in filling end and so on) and course of disease. The residual urine volume of bladder and urethral closing pressure in filling end increased of urodynamic tests in all patients with uroschesis as compared with the normal subjects(P<0.05);but max free flow decreased at 1 d,1,3 weeks after operation(P<0.05). In the patients with uroschesis,residual urine volume of bladder markedly increased(P<0.05) and urethral closing pressure in filling end markedly depressed(P<0.05) at 1 week after operation than other time(at 1 d,3 weeks after operation),but max free flow had not significant difference(P>0.05).
Conclusion: Urodynamic study might evaluate regenerate the degree of neurogenic bladder by pelvic fracture postoperative and predict the prognosis of the neurogenic bladder. |
| KEY WORDS Urinary retention Urodynamics Prognosis Controlled clinical trials |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 樊留博,马利中,田瑛.骨盆骨折术后神经源性膀胱的尿流动力学评估[J].中国骨伤,2010,23(4):285~287 |
| 英文格式: | FAN Liu-bo,MA Li-zhong,TIAN Ying.Clinical application of urodynamic study in patients with neurogenic bladder by pelvic fracture postoperative[J].zhongguo gu shang / China J Orthop Trauma ,2010,23(4):285~287 |
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