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女性脊髓损伤患者不能使用外部尿液收集装置,而常使用尿管引流,但尿管引流治疗常遇到严重泌尿科问题。为此,作者对13例尿管引流和22例间歇导尿妇女进行了对比性研究。材料和方法:研究开始时病人年龄19～76岁。损伤平面:尿管引流组T_(12)以上12人,脊髓脊膜膨出1人。间歇导尿组T_(12)以上15人,T_(12)以下7人。每组有一例病人为不完全损伤。损伤二月内,全部病人均有一基础排泄尿路造影(IVP)。二年内每六月一次,以后每年一次。如病情恶化随时检查IVP。尿管引流病人每三月做一次膀胱镜检查,间歇性导尿病人每年一次。间歇导尿病人随访2～11年(平均6年),尿管引流病人随访3～12年(平均7年)。结果:损伤高于T_5病人,尿管引流组8例中7例及间歇导尿组9例中1
Female spinal cord injury patients can not use an external urine collection device, and often use the catheter drainage, but often encountered serious urinary drainage catheter drainage problems. To this end, the authors conducted a comparative study of 13 cases of catheter drainage and 22 cases of intermittent catheterization. MATERIALS AND METHODS: Patients were 19 to 76 years old at the start of the study. Injury plane: catheter drainage group T_ (12) more than 12 people, myelomeningocele 1. Intermittent catheterization group T_ (12) more than 15 people, T_ (12) the following 7 people. One patient in each group was incompletely injured. In February, all patients had a basic voiding urography (IVP). Once in two years in two years, once a year thereafter. IVP is checked at any time as the condition deteriorates. Urinary catheter drainage patients do cystoscopy every three months, intermittent catheterization patients once a year. Patients with intermittent catheterization were followed up for 2 to 11 years (mean, 6 years) and patients with catheter drainage were followed up for 3 to 12 years (mean, 7 years). Results: The injury was higher than that of T_5 patients, 7 of 8 cases of catheter drainage group and 9 of intermittent catheterization group