•  
  •  
 

Rehabilitation Practice and Science

Translated Title

慢性脊髓損傷患者泌尿系統之追蹤及併發症

Abstract

Renal failure was once the leading cause of death in patients with chronic spinal cord lesions. In western countries, dramatic improvements in urologic care enhancing patient survival have occurred in the last 25 years. Nonetheless, urological complications continue to be the major morbidity in spinal cord injured patients. The purpose of our investigation was to survey the urological complications in patients suffered from spinal cord injuries (SCI) for more than 2 years in Taiwan. Forty-nine male and 11 female patients had comprehensive urological studies prospectively. Of the 49 male patients, 32 (65.3%) had had bladder training in the acute stage. Only 14 (43.8%) of the 32 patients had post-voiding residuals (PVR) less than 100 ml. Of the 11 female patients, 9 (81.8%) had had bladder training in the acute stage, all the patients had PVR less than 150 ml. Twenty-one (42.9%) of the 49 male patients revealed urologic complications, including 16 with vesico-ureteral reflux (VUR), 2 with moderate pyelocaliectasis, 2 with renal stones and 2 with bladder stones (one patients had both bladder stones and VUR). Five (10.2%) patients had significant renal impairment (Ccr ＜ 50 ml/min and serum Cr ＞1.5 mg/dl). Only one (9.0%) of the 11 female patients had urologic complication (unilateral VUR), the incidence was significantly less than the male patients (p＜0.05).An to the 22 patients with urologic complications, 17 of them did not have any urological symptoms when they were examined. Fifteen patients had never had previous urological examinations. We found that the incidence of urologic complications was relatively high for the male SCI patients in middle Taiwan. In order to prevent urologic complications and preserve the renal function, appropriate bladder management and regular urological surveillance should be emphasized to both the medical personnel and the SCI patients in Taiwan.

Language

Traditional Chinese

First Page

83

Last Page

90

Download

Share

COinS