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題 名 | Herpes Zoster Induced Neuropathic Bladder--A Case Report=帶狀疱疹引發神經病態性膀胱症 |
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作 者 | 蔡秀男; 吳文正; 黃書彬; 蘇進明; 陳重欽; 王起杰; 周以和; 黃俊雄; | 書刊名 | The Kaohsiung Journal of Medical Sciences |
卷 期 | 18:1 2002.01[民91.01] |
頁 次 | 頁39-44 |
分類號 | 415.83 |
關鍵詞 | 帶狀疱疹; 神經病態性膀胱症; Herpes zoster; Neuropathic bladder; Urinary retention; |
語 文 | 英文(English) |
中文摘要 | 帶狀庖疹感染侵犯薦椎皮節時,會引起膀胱功能異常,甚至急性尿液 滯留。文獻上只有不到一百五十例曾經被報告過。回顧本院十年來的病例記載, 我們報告三例帶狀庖疹,侵犯薦部第貳至第四皮節,產生皮膚病兆之後,引發急 性尿液滯留。病患先前解尿功能皆為正常。尿路動力學檢查顯示,膀胱感覺功能 喪失或低下,逼尿肌無反應或收縮力低下。治療後解尿功能恢復,重複尿路動力 學檢查,顯示膀胱感覺功能以及逼尿肌收縮力恢復。一到六周之後,所有病人均 可自解,不須再導尿。治療上採取抗病毒藥劑、止痛藥、暫時性導尿或恥骨上膀 胱造廔引流尿液,一般而言,預後良好。換言之,帶狀庖疹引發神經病態性膀胱 症雖然少見,但是接受適當治療之後,其影響卻是可逆的。 |
英文摘要 | Herpes zoster infection involving the sacral dermatomes has been associated with bladder dysfunction and, although rarely, with acute urinary retention. Less than 150 cases have been reported in the literature. After reviewing our institute's chart records covering a period of time dating from 1991 to 2001, we found that three of our patients had developed acute urinary retention following herpes zoster skin lesions of the S2-4 dermatomes. Herein we report our findings. These three patients had previously been found to have normal voiding status. However, at the time of complaint urodynamic studies revealed detrusor areflexia or detrusor hyporeflexia with decreased sensation of bladder filling. After micturation recovery, repeat urodynamic studies revealed detrusor pressure and bladder sensation recovery. After one to six weeks of treatment, all three patients could void spontaneously without catheterization. We found that, when treated with antiviral medication, supportive analgesics, and temporary urinary drainage, which included urethral catheterization and suprapubic cystostomy, acute urinary retention associated with herpes zoster has a generally favorable prognosis. In other words, we found that in spite of its rarity, herpes zoster induced neuropathic bladder dysfunction is reversible when treated appropriately. |
本系統中英文摘要資訊取自各篇刊載內容。