脊損膀胱に於ける上部尿路拡張 : その臨床像と対策

概要

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In the clinical course of the patients after spinal cord injuries, there are many inevitable complications such as urinary infection, stone formation, hydronephrosis and vesico-ureteral reflux. The incidence of dilatation of the upper urinary tract is high and its presence is one of the most critical cause of the progressive renal damage. We have studied the clinical states and the treatment of hydronephrosis and hydroureter in the paraplegics, which could be observed and followed-up at the Osaka Rosai Hospital. The dilatation of the upper tract was found in 33 cases (37 percent) of 89 paraplegics. This state was more frequent in the lower motor neuron lesion than in the upper. Furthermore, the bladder dysfunction was not directly related to the combination of hydronephrosis.
社団法人日本泌尿器科学会の論文