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结核性脊柱炎患者手术治疗前后的神经源性排尿障碍
- 作者: Gorbunov A.I.1, Murav’ev A.N.1,2, Sokolovich E.G.1,3, Yablonsky P.K.1,3
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隶属关系:
- Saint Petersburg State Research Institute of Phthisiopulmonology of the Ministry of Healthcare of the Russian Federation
- Saint Petersburg Medico-Social Institute,
- Saint Petersburg State University
- 期: 卷 11, 编号 1 (2021)
- 页面: 27-32
- 栏目: Original study
- ##submission.dateSubmitted##: 26.11.2020
- ##submission.dateAccepted##: 09.01.2021
- ##submission.datePublished##: 27.05.2021
- URL: https://journals.eco-vector.com/uroved/article/view/52482
- DOI: https://doi.org/10.17816/uroved52482
- ID: 52482
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详细
研究现实性。结核性脊柱炎可并发神经源性排尿障碍。目前已有少量研究发表对这类患者下尿路功能障碍的研究。
目的：探讨脊柱手术前后结核性脊柱炎患者下尿路尿动力学的变化。
材料与方法。对脊柱手术前后伴有排尿障碍症状的结核性脊柱炎患者（n=19）进行了检查。
结果。术前11例（57.9%）发现逼尿肌活动过度，合并逼尿肌-括约肌协同失调为2例（10.5%）， 8例（42.1%）患者诊断逼尿肌功能减退/收缩力减弱。在术后期间，5例（26.3%）患者观察到积极的动态，其中1例出现尿动力学障碍。1例患者发生逼尿肌新生过度活动伴尿失禁。在另一例中，随着敏感性和灵活性障碍的进展以及收缩性膀胱的发展，神经系统状况恶化。
结论。结核性脊柱炎患者有多种下尿路功能障碍。术后早期，26.3%的患者尿动力学得到改善，在某些情况下，可能会加重现有的疾病，并发展为另一种类型的de novo下尿路神经源性功能障碍。
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作者简介
Aleksandr Gorbunov
Saint Petersburg State Research Institute of Phthisiopulmonology of the Ministry of Healthcare of the Russian Federation
编辑信件的主要联系方式.
Email: alx.urolog@gmail.com
ORCID iD: 0000-0002-0656-4187
SPIN 代码: 9558-8279
urologist, researcher
俄罗斯联邦, Saint PetersburgAleksandr Murav’ev
Saint Petersburg State Research Institute of Phthisiopulmonology of the Ministry of Healthcare of the Russian Federation; Saint Petersburg Medico-Social Institute,
Email: urolog5@gmail.com
ORCID iD: 0000-0002-6974-5305
SPIN 代码: 2243-1683
Candidate of Medical Science, Head of Urology, Gynecology and Abdominal Surgery Direction, Associate Professor, Department of Surgical Diseases
俄罗斯联邦, Saint Petersburg; Saint PetersburgEvgenij Sokolovich
Saint Petersburg State Research Institute of Phthisiopulmonology of the Ministry of Healthcare of the Russian Federation; Saint Petersburg State University
Email: sokole@mail.ru
ORCID iD: 0000-0003-4794-0588
SPIN 代码: 7375-8836
Dr. Sci. (Med.), Professor, Deputy Director for Research, Professor of the Department of Hospital Surgery
俄罗斯联邦, Saint Petersburg; Saint PetersburgPetr Yablonsky
Saint Petersburg State Research Institute of Phthisiopulmonology of the Ministry of Healthcare of the Russian Federation; Saint Petersburg State University
Email: glhirurgb2@mail.ru
ORCID iD: 0000-0003-4385-9643
SPIN 代码: 3433-2624
Dr. Sci. (Med.), Professor, Director, Head of Department of Hospital Surgery
俄罗斯联邦, Saint Petersburg; Saint Petersburg参考
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