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直肠癌根治术后并发神经源性膀胱的诊断和处理 被引量:2

Diagnosis and management of patients with neurogenic bladder disorder after radical resection of rectal cancer
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摘要 目的 提高直肠癌术后神经源性膀胱的诊断和治疗水平。方法  2 3例直肠癌术后并发神经源性膀胱的患者行尿流动力学检查 ,明确诊断 ,并给予相应治疗 ,观察疗效。结果  2 2例患者经治疗后恢复正常的排尿 ,1例尿失禁患者在随访 6个月后仍未恢复正常。结论 直肠癌术后并发神经源性膀胱的患者应早期行尿动力学检查 。 Objective To improve the diagnosis and management of neurogenic bladder disorder after radical operation for rectal cancer. Methods 23 paticnts with neurogenic bladder disodrer after surgery for rectal cancer underwent urodynamic examination to establish the diagnosis, and received treatment according to the findings. The results of treatment were observed.Results After management, 22 patients regained normal urination , and one case of urinary incontinence did not return to normal urination at follow-up 6 months later. Conclusions Patients with neurogenic bladder disorder after radical operation for rectal cancer should take the urodynamic examimation and given symtomatic management according to the urodynamic examination.
出处 《中国普通外科杂志》 CAS CSCD 2004年第11期843-845,共3页 China Journal of General Surgery
关键词 直肠肿瘤/外科学 手术后并发症 神经源性膀胱/病因学 RECTAL NEOPLASMS/surg POSTOPERATIVE COMPLICATION NEUROGENIC BLADDER DISORDER/etiol
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参考文献5

  • 1Madersbacher HG.Neurogenic bladder dysfunction[J].Current Opinion Urology,1999,9(2):303. 被引量:1
  • 2毛捷鸿,李小沛.直肠癌术后局部复发的再手术治疗(附25例报告)[J].中国普通外科杂志,2001,10(3):237-240. 被引量:10
  • 3Havenga K,Enker WE,McDermott K,et al.Male and female sexual and urinary function after total mesorectal excision with autonomic nerve preservation for carcinoma of the rectum[J].J Am Coll Surg,1996,182(6):495-502. 被引量:1
  • 4Junginger T,Kneist W,Heintz A.Influence of identification and preservation of pelvic autonomic nerves in rectal cancer surgery on bladder dysfunction after total mesorectal excision[J].Dis Colon Rectum,2003,46(5):621-628. 被引量:1
  • 5Aagaard J,Gerstenberg TC,Knudsen JJ.Urodynamic investigation predicts bladder dysfunction at an early stage after abdominoperineal resection of the rectum for cancer[J].Surgery,1986,99(5):564-568. 被引量:1

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