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題 名 | Voiding Dysfunction in Patients after Cerebrovascular Accident=腦血管病變後的排尿功能異常 |
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作 者 | 黃世聰; 張慧朗; 吳季如; 黃敏雄; | 書刊名 | 中華民國外科醫學會雜誌 |
卷 期 | 26:5 民82.09-10 |
頁 次 | 頁2009-2014 |
分類號 | 416.27 |
關鍵詞 | 排尿功能; 異常; 腦血管病變; |
語 文 | 英文(English) |
中文摘要 | 腦血管病變常造成老年人排尿功能異常,而其功能異常的形態又往往與其病變發生之解剖位置有關,良性前列腺肥大好發的年齡分佈與腦血管病變相似且兩者皆可能造成患者排尿功能的異常,本文收集了本院過去四年中76例男性腦血管病變患者,其中45例合併有良性前列腺肥大,我們發現在急性尿滯留或滿溢性尿失禁的患者比尿急性尿失禁的患者有較高比例的尿路感染(p<0.02 )及氮血症(p<0.05)。 我們認為尿動力學檢查對於腦血管病變合併排尿困難的患者是有必要的,如又合併有良性前列腺肥大時,必需早期診斷並加以藥物或經尿道前列腺切除治療,至於因腦血管病變引起的急性尿滯留或滿溢性尿失禁患者,應早期使用間歇性導尿治療以避免尿路感染及氮血症的產生。 |
英文摘要 | Cerebrovascular accidents generally occur in the same age-group in which benign prostatic hyperplasia (BPH) develops. These patients may experiency voiding dysfunction because of cerebrovascular accident and/for BPH. The following report retrospectively evaluates the urinary problems of 76 male cerebrovascular accident patients, including 45 who had had benign prostate hyperplasia over a period of 4 years. The difference in the incidence of urinary tract infection ( UTI ) ( p<0.02 ) or azotemia ( p<0.05 ) between patients with urinary retention or overflow-incontinence and urge incontinence was statistically significant. Of the 45 (59.2%) patients with BPH, all had a residual urine volume over 150 ml; one had urethral stricture, and one had bladder stone. Over 50% of the patients with lesions in the frontal lobe, basal ganglia, thalamus, multiple sites or brain atroply, had detrusor hyperreflexia. It was concluded that urodynamic studies are necessary to evaluate the function of the lower urinary tract in patients with urinary problems after cerebrovascular accident. BPH should be detected and managed by pharmacologic agents or transurethral prostatectomy. Early urinary catheterization is required for patients with urine retention or overflow-incontinence after cerebrovascular accident to prevent UTI and azotemia. |
本系統中英文摘要資訊取自各篇刊載內容。