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首页> 外文期刊>Critical reviews in physical and rehabilitation medicine >The Management of Adult Neurogenic Lower Urinary Tract Dysfunction
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The Management of Adult Neurogenic Lower Urinary Tract Dysfunction

机译：成人神经源性下尿路功能障碍的治疗

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ABSTRACT: Neurogenic lower urinary tract dysfunction (NLUTD) is commonly encountered in rehabilitation settings and is caused by a variety of pathologies. The management of spinal cord injury (SCI) has been the model of reference for the management of other pathologies associated with NLUTD. The introduction of clean, intermittent catheterization, the decline in renal-related mortality in SCI patients, and the algorithms proposed by the International Consultations on Incontinence underlined the need for an early, simple, but correct assessment and empiric treatment of patients whose predominant problems are urinary incontinence and retention. The aim of this review is to provide useful information for clinical practitioners, notably physiatrists, on NLUTD epidemiology, pathophysiology, classification, diagnosis, conservative management, and follow-up. The management of NLUTD has well-defined aims-protection of the upper urinary tract, improvement of urinary continence and voiding dysfunction, with beneficial effects on quality of life-and consists of noninvasive, conservative, and minimally invasive treatments. After an analytic description of the different approaches, the management of NLUTD in stroke, Parkinson's disease, multiple sclerosis, and SCI patients is underlined. The importance of a dedicated team is emphasized, as well as the need for a urologist to provide for invasive treatments or major surgery if necessary.
机译：摘要：神经源性下尿路功能障碍（NLUTD）通常在康复环境中遇到，并由多种病理引起。脊髓损伤（SCI）的管理已成为管理与NLUTD相关的其他病理的参考模型。引入清洁，间歇性导管插入术，SCI患者的肾相关死亡率下降以及国际失禁咨询会提出的算法强调了需要对主要问题是患者的早期，简单但正确的评估和经验性治疗尿失禁和retention留。这篇综述的目的是为临床医生，尤其是物理医生，提供有关NLUTD流行病学，病理生理学，分类，诊断，保守治疗和随访的有用信息。 NLUTD的治疗具有明确的目标保护上尿路，改善尿失禁和排尿功能障碍，对生活质量产生有益影响，并且由无创，保守和微创治疗组成。在对不同方法进行分析描述后，着重强调了中风，帕金森氏病，多发性硬化症和SCI患者的NLUTD处理。强调了专门团队的重要性，以及泌尿科医师在必要时提供侵入性治疗或大手术的必要性。

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