脊髓损伤后神经原性膀胱的功能康复

Rehabilitation of neurogenic bladder functionin in spinal cord injury patients

脊髓损伤后 ,神经原性膀胱的功能康复以非手术治疗为主。间歇导尿感染率低 ,并发症少 ,是目前最常用的尿液引流方法。抗胆碱能药物能提高膀胱顺应性和排尿节制功能。经尿道球囊扩张术和经尿道留置支架外括约肌成形术能有效改善尿道外括约肌痉挛 ,是很有发展前景的新技术。科学的膀胱再训练能促进自主排尿节律的建立。

The common approach of rehabilitation of neurogenic bladder in spinal cord injury was nonoperative. Intermittent catheterization had a lower infection of the urinary tract, less complication and was wildly used. Anti-cholinesterase could improve the compliance and uresis rhythm of the neurogenic bladder. Transurethral balloon dilation of the external urinary sphincter and transurethral placement of the sphincter stent prosthesis could resolve the external sphincter dyssynergia and became the hopeful new technique. In another, bladder training was helpful to reconstruct the autonomic rhythm of neurogenic bladder.