Spinal Kord Yaralanmalı Hastalarımızda Ürodinamik Değerlendirimi
Küçük Resim Yok
Tarih
1997
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Erişim Hakkı
info:eu-repo/semantics/closedAccess
Özet
Spinal kord yaralı 21 hastanın mesane fonksiyonları ürodinamik olarak incelendi ve nörolojik muayene bulguları ile karşılaştırıldı. Bu bilgiler doğrultusunda üriner sistem tedavileri uygulanarak, takipleri gerçekleştirildi. Ürodina'mi sonuçlarına göre 10 hiperrefleks mesaneli hastanın 9'u dissinerjik sfinkterli, 11 arefleks mesaneli hastanın 5'i nonkoordine sfinkterli iken, 6'sı koordine sfinkterli idi. Arefleks mesaneli iki hastanın mesane kompliansları düşüktü. Suprasakral lezyonlu (T6) bir hasta arefleks mesaneye sahipti. 5 hastaya kontrolleri sonunda cerrahi tedavi önerilirken, diğer hastaların temiz aralıklı kateter, Oksibutinin HCI veya suprapubik taping-Valsalva-Crede ile kombine saatli işeme şeklindeki tedavileri sağlandı. Nörojenik mesane tedavisi, nörolojik muayeneden ziyade ürodinamik pensiplere dayandırılmalıdır. Ürodinamik inceleme hastanın durumuna göre yılda en az bir kez tekrarlanmalı ve tedaviler buna göre yönlendirilmelidir.
Function of the urinary tract in 21 patients with spinal cord injury was measured with diagnostic urodynamic studies and results were compared with clinical neurological findings. Depending on data about the results of urodynamic tests, management and follow-up of urinary dysfunction were accomplished. Urodynamic results showed that 9 of 10 patients with hyperreflex bladder had dyssynergic sphincter, 5 of 11 patients with areflex bladder had noncoordinated sphincter. Remaining 6 patients had coordinated sphincter. Compliance of two patients with areflex bladder was low. One patient with suprasacral lesion (T6) had an areflex bladder. During their follow-up, while surgical treatment was recommended to 5 patients, management of others were accommplished by intermittant catheierization, oxybutinin HCI or voiding combined with suprapubic tapping-Valsalva-Crede. We conclude that management of neurogenic bladder must be performed according to the results of urodynamic studies instead of neurological findings. Depending upon patiens' conditions, urodynamic studies should be repeated at least once a year and treatment must be directed accordingly.
Function of the urinary tract in 21 patients with spinal cord injury was measured with diagnostic urodynamic studies and results were compared with clinical neurological findings. Depending on data about the results of urodynamic tests, management and follow-up of urinary dysfunction were accomplished. Urodynamic results showed that 9 of 10 patients with hyperreflex bladder had dyssynergic sphincter, 5 of 11 patients with areflex bladder had noncoordinated sphincter. Remaining 6 patients had coordinated sphincter. Compliance of two patients with areflex bladder was low. One patient with suprasacral lesion (T6) had an areflex bladder. During their follow-up, while surgical treatment was recommended to 5 patients, management of others were accommplished by intermittant catheierization, oxybutinin HCI or voiding combined with suprapubic tapping-Valsalva-Crede. We conclude that management of neurogenic bladder must be performed according to the results of urodynamic studies instead of neurological findings. Depending upon patiens' conditions, urodynamic studies should be repeated at least once a year and treatment must be directed accordingly.
Açıklama
Anahtar Kelimeler
Romatoloji
Kaynak
Romatizma Dergisi (. Turkish Journal of Rheumatology)
WoS Q Değeri
Scopus Q Değeri
Cilt
12
Sayı
2
Künye
Özerbil, Ö. M., Yurdakul, T., Şendur, Ö. F., Özeroğlu, M., Küçükşen, S., Sert, İ. Ü., (1997). Spinal Kord Yaralanmalı Hastalarımızda Ürodinamik Değerlendirimi. Romatizma Dergisi, 12(2), 124-128.
