| 截瘫后经马尾骶神经根重建自控性膀胱功能 |
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| 引用本文： | 谢俊明,谢庆平.截瘫后经马尾骶神经根重建自控性膀胱功能[J].现代泌尿外科杂志,2003,8(2):96-97. |
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| 作者姓名： | 谢俊明 谢庆平 |
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| 作者单位： | 1. 浙江省中医院泌尿外科,浙江,杭州,310006
2. 杭州萧山区中医院手外、显微外科,浙江,杭州 |
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| 摘 要： | 目的 通过对截瘫患马尾骶神经根的桥接来改善膀胱功能，建立起自控性膀胱。方法 将2例截瘫后患行切断15前根，两例行L5-S2前根的桥接。结果 2例患近期表现为膀胱容量增大，顺应性提高，远期有敲击跟腱后引发排尿．最大尿流率11．0mL/s。结论 建立“腱反射—脊髓中枢—膀胱”的人工反射弧途径来达到重建自控性膀胱功能是可行的。
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| 关 键 词： | 截瘫 马尾骶神经根 自控性膀胱功能 重建 |
| 文章编号： | 1009-8291(2003)02-0096-02 |
| 修稿时间： | 2002年3月22日 |
Reestablishment of autonomic bladder function by connection of cauda equine sacral nerve roots for patients with paraplegia |
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| XIE Jun-ming,XIE Qing-ping.Reestablishment of autonomic bladder function by connection of cauda equine sacral nerve roots for patients with paraplegia[J].Journal of MOdern Urology,2003,8(2):96-97. |
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| Authors: | XIE Jun-ming XIE Qing-ping |
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| Abstract: | AIM To investigate the teestablishment of autonomie bladder function by man-made-artificial reflex. METHODS Cutting of L5 anierior tendon and biateraily connecting L5 and S2 anteria terdon were performed in 2 patients with paraplogia to improve bladder fune-tion. RESULTS Short-term effect: bladder capacity and compliance increased. Long-term effect: urination was induced by knocking achil-les tendon, the maximum urine flow rate was 11.0 mL/s. CONCLUSION It is feasible to reestablish autonomic bladder function by estab-lishing the artificial reflex are of "tendon reflex - spinal cord-bladder" . |
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| Keywords: | paraplegia cauda equine sacral nerve root reestablishment autonomic bladder |
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