| 刘良乐,汤呈宣.盆底肌电生物反馈法在治疗脊髓损伤术后排尿功能障碍的中短期随访研究[J].浙江中西医结合杂志,2015,25(11): |
| 盆底肌电生物反馈法在治疗脊髓损伤术后排尿功能障碍的中短期随访研究 |
| The short and mid-term curative effect of urinary dysfunction in spinal cord injury patient after operation by electric biofeedback of the pelvic floor muscles. |
| 投稿时间：2015-04-05 修订日期：2015-06-12 |
| DOI： |
| 中文关键词: 电 生物反馈 脊髓 尿失禁 治疗 |
| 英文关键词: |
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| 中文摘要: |
| 【】 目的 探讨盆底肌电生物反馈法治疗脊髓损伤术后患者排尿功能障碍的中短期疗效。方法 回顾性分析了2007年11月至2013年6月收治的脊髓损伤术后排尿功能患者60例。男39例,女21例；年龄23一66岁,平均39.7±8.5岁；完全性损伤5例,不完全损伤55例；颈髓损伤35例,胸髓损伤9例,腰髓损伤/马尾神经11例。采用盆底肌电生物反馈法对所有患者进行治疗。记录所有患者治疗前后膀胱B超检查膀胱残余尿量、尿动力学测定、拔尿管试验成功率,并进行分析。结果 所有患者均获得随访,随访12-60个月,平均35.5个月。未见肾积水、泌尿系结石等并发症发生。与治疗前比较,患者治疗后的膀胱残余尿量,最大尿流率或平均尿流率,膀胱顺应性等指标有所改善,差异有统计学意义(P＜0.05)；其中,53例患者成功拔除导尿管,成功率为88.3%, 结论 盆底肌电生物反馈治疗法可显著改善不完全脊髓损伤术后患者的排尿功能,中短期随访结果满意,值得进一步深入研究与应用。 |
| 英文摘要: |
| Objective To evaluate the short and mid-term curative effect of electrical biofeedback of the pelvic floor muscles on urinary dysfunction in patients with spinal cord injuryafter operation. Methods A total of 60 patients with spinal cord injury(SCI) after operation from November 2007 to June 2013 were retrospectively identified. There were 39 males and 21 female with a mean age of 39.7 years (range from 23 to 66 years ),55 incomplete and 5 complete,35 cervical,9 thoracic and 11 lumber cases. All cases were given electrical biofeedback of the pelvic floor muscles in addition. Residual volume of urine was evaluated using ultrasound pre- and post-treatment. Uurodynamic examinations and catheter extraction used to assess the urinary function. Results The mean follow－up time was 35.5 months. There were no complication of hydronephrosis or Urinary Calculi. All cases were improved in bladder urine residue, maximum urinary flow rate,average urinary flow rate,and bladder compliance after treatment (P<0.01). 53 cases (83.3%)wereSpull out urinous successfully. Conclusions . It is a satisfactory method of the electrical biofeedback of the pelvic floor muscles treat for urinary dysfunction in patients with incomplete spinal cord injury after operation in short and mid-term. andS deserves further clinical applications |
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