脊髓损伤后神经原性膀胱的分类及其治疗原则

Classification and treatment of neurogenic bladder in spinal cord injury

脊髓损伤后神经原性膀胱的分类及其与治疗的关系近年来有了长足的进展。传统的分类和按膀胱功能及尿流动力学的分类方法与临床治疗不相适应。基于排尿时患者有无尿道外括约肌松弛 ,结合患者全身情况及康复治疗的需要 ,近年提出了新的4型分类法 ,即大脑脊髓束残留型、脊髓协同型、截瘫型和四肢瘫型。本文简要介绍了各种分类方法及其治疗原则 ,尤其是新分类法 ,简明实用。

In recent years, considerable progress have been made in classification and treatment of neurogenic bladder with spinal cord injury. Traditional classification and urodynamic or function of the bladder is not adequate for actual management. Based on whether the striated sphincter can relax or not when patients micturite and neurological examination and urodynamic examination, a new classification was presented that include four categories: Cerebral cortical; Spinal synergic; Paraplegic; Quadriplegic. It is introduced that the classification of neurogenic bladder dysfunction and the principle of treatment, especially the new one that is not only brief and to the point but also adequate for actual management.