泌尿生殖反射检查对脊髓损伤患者排尿功能预后评估的价值

Prognostic value of urogenital reflex examination in urinary function in the patients with injury spinal cord

目的:对脊髓损伤患者进行泌尿生殖反射检查,探讨其对排尿功能预后评估的价值。方法:根据尿动力学检查结果,对脊髓排尿中枢损伤患者予以不同的药物治疗,同时进行正规的主动排尿训练。在治疗前行泌尿生殖反射检查。结果:4例泌尿生殖反射弧环路中断的患者均可以通过腹压完全排出尿液,而6例泌尿生殖反射环路连续性存在的患者只能部分排出尿液。结论:脊髓损伤后,泌尿生殖反射中断的患者排尿功能恢复较反射弧存在的患者快且好。

AIM:To study the prognostic value of urogenital reflex examination in the patients with injury spinal cord. METHODS:According to the results of urodynamic examination, the drugs were given to the patients. At the same time, all patients were formally exercised with initiative of bladder training. Before the treatment, the urogenital reflex examination was done. RESULTS:Four patients of urogenital interruption of reflex arc could urinate perfectly by abdominal pressure. The other 6 patients of urogenital intact reflex arc existence only could urinate partly.