摘要
目的：探索建立人工膀胱反射弧恢复脊髓损伤患者排尿功能的治疗途径。方法：对３ 例圆锥上脊髓损伤（ＳＣＩ）患者行两侧Ｌ５ ～Ｓ２ 或Ｓ１～Ｓ３ 前根吻合，经１０～１２ 个月轴索再生后，检测膀胱排尿功能。结果：建立人工膀胱反射弧手术后，通过刺激躯体传入神经，可经内脏传出神经引发膀胱内压升高，在膀胱充盈较满时能引起排尿反应。结论：建立人工膀胱反射弧对ＳＣＩ患者排尿有一定作用，但尚需进一步研究完善。
Objective: To introduce preliminary clinical results of artificial somato CNS bladder reflex arc established for controlled micturition in the spinal cord injury (SCI). Methods: Three supraconal SCI patients were included after urodynamic selection. Bilateral anterior root anastomoses of L 5 to S 2(1 case) or S 1 to S 3(2 cases) were carried out. After 10 to 12 months axonal regeneration, the effects were examined clinically and urodynamically. Results: Stimulation of the somatic afferent nerve by passive ankle movement or Achilles tendon stretch could induce an increase of intravescical pressure, and could cause reflex voiding provided the bladder was nearly full filled. Conclusion: Establishing somato CNS bladder artificial reflex arc may be effective for controlled micturition in SCI, but further studies are needed.
出处
《第二军医大学学报》
CAS
CSCD
北大核心
2000年第1期87-89,共3页
Academic Journal of Second Military Medical University
基金
上海市医学领先学科基金!资助项目(1995-N-005)
关键词
脊髓损伤
排尿功能
人工膀胱反射弧
spinal cord injuries
bladder
micturition
reflex arc
reinnervation
