潜在性脊椎披裂を有し,脊髄下部の牽引により生じた先天性神経因性膀胱(いわゆるTethered Cord Syndrome)の診断,治療,予後について

概要

論文の詳細を見る
Twenty cases of tethered cord syndrome which we experienced are presented. AU of the cases were under 18 years of age except one who was at the age of 45 as listed in Table 1. 70% of the cases were under 15 years old. Most of the cases were children. As shown in Table 2, many Patients complained of urinary incontinence and dysuria as clinical symptoms. All of the cases had the autonomous neurogenic bladder according to the classification of Lewis' cystometrogram. According to the classification of Sato's cystometrogram, 13 cases were hypertonic, 4 cases normotonic and 3 cases hypotonic. Many of them were unexpectedly hypertonic although they had the autonomous neurogenic bladder (Table 2). For the diagnosis and prognosis of this syndrome, simultaneous measurements of the vesical pressure, urethral pressure, intra-abdominal pressure, E.M.G. of anal sphincter, tone of anal sphincter and urinary flow rate were performed in the course of micturition with the 6 channel polygraph, which we had reported, as well as the neurological test by E.M.G.
社団法人日本泌尿器科学会の論文