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頁籤選單縮合
題名 | Urological Management of Spinal Cord Injuries in Eastern Taiwan=臺灣東部脊髓損傷病人之泌尿科處置 |
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作者姓名(中文) | 郭漢崇; | 書刊名 | 慈濟醫學 |
卷期 | 7:1 1995.03[民84.03] |
頁次 | 頁11-19 |
分類號 | 415.945 |
關鍵詞 | 脊髓損傷; 神經性排尿障礙; 生活品質; 泌尿科手術; Spinal cord injury; Neurogenic voiding dysfunction; Life quality; Urologic surgery; |
語文 | 英文(English) |
中文摘要 | 從1988年至1994年共有175位脊髓損傷病人在本院泌尿科處理其排尿障 礙。其中72位為頸髓傷害,56位為胸腰髓傷害,47位為薦髓傷害。共有40位手術 22.7叨1進行以治療其症狀以及腎功能變壞,包括22位尿道外括約肌切開術,匕 位腸膀恍擴大整型術,5位禁尿性尿改流及I位鐵氟龍尿道周圍注射。經過泌尿科 處置後之病人我們繼續追蹤其排尿品賞及對現在排尿處置的滿意度。排尿處置必 須考慮其川尿液排空口不會有感染付尿不失禁叫不需使用導尿管(5)病人處置方 便及不用服藥。大部份的病人均滿意或能接受目前的處置,只有16.1病人希望作 改變以改善其排尿生活品質。在不同部位之脊髓損傷滿意程度並無統計上的差 異。共有15位病人被發現有腎水腫,其中包括4.2頸髓傷害,8.9胸腰髓傷害以及 15薦髓傷害者。所有腎臟水腫均在手術治療後消失。我們認為為了改善脊髓損傷 病人之腎功能以及排尿品質,積極的泌尿科處置不但必要而且十分重要。(慈濟 醫學 1995;7:11-19) |
英文摘要 | 775 spinal cord injury (SCI) patients with voiding dysfunction were followed up from 1988 to1994. Among them 72 were cervical SCI, 56 were thoracolumbar and 47 were sacral SCI. A total of 40 surgical procedures were undertaken in order to treat their symptoms or upper urinarytract deteriorations. There were 22 external sphincterotomy, 12 augmentation cystoplasty, 5 continent diversion and 1 Teflon periurethral injection. The quality of urination was assessed and thesatisfaction of voiding management was questioned for the patients who received urological surgery. Only 16.1 of the patients wished for a change to improve their quality while the otherswere satisfied or accepted for their present outcome. There was no significant difference in thesatisfaction rate among different levels of SCI. Hydronephrosis was observed in 4.2 cervical,8.9 thoracolumbar, and 15 sacral SCI. All were resolved after urological management. Weconclude that aggressive urological managements are mandatory in treatment of upper urinarytract deterioration and in improvement of urination quality in SCI patients. (TZU Chi Med J 1995;7:11-19) |
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