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神经原性膀胱晚期死亡原因主要是泌尿系梗阻、感染所引起的尿毒症和慢性肾功能衰竭,治疗目的最重要是保护上尿路功能、控制感染并避免尿失禁。导尿和膀胱造瘘,手术一般采用膀胱颈口12点位全层切开,3与9点位内括约肌切断和外括约肌切断术。手术治疗的最佳效果应使患者术后残余尿量减少至50ml以下,双肾积水减轻或消失,肾功能好转或正常,无尿失禁,截瘫患者平卧位无失禁,坐软椅时有轻微压力性尿失禁。为此,我院泌尿外科手术做了如下改进,仅切
Neurogenic Bladder late death mainly due to urinary tract obstruction, uremia caused by infection and chronic renal failure, the treatment of the most important purpose is to protect the upper urinary tract function, infection control and to avoid urinary incontinence. Catheterization and bladder fistula, the general use of bladder neck incision at 12 o’clock full-thickness incision, 3 and 9 o’clock sphincterotomy and external sphincterotomy. Surgical treatment of the best results should be patients with residual urine volume decreased to 50ml or less, hydronephrosis reduced or disappeared, renal function improved or normal, no incontinence, paraplegia supine position without incontinence, sitting soft chair time Slight pressure urinary incontinence. To this end, our hospital urology surgery made the following improvements, only cut