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首页> 外文期刊>Nature reviews. Urology >The management of neurogenic lower urinary tract dysfunction after spinal cord injury
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The management of neurogenic lower urinary tract dysfunction after spinal cord injury

机译：脊髓损伤后神经源性下尿路功能障碍的治疗

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The management of patients with neurogenic bladder has changed substantially over the past decades. Obtaining balanced lower urinary tract function has become possible in most patients, although, urological complications remain among the most serious complications these patients are likely to have and, even today, these can have a negative effect on quality of life. To this extent, patients with spinal cord injury (SCI) are likely to develop neurogenic bladder, and data are available on most aspects of neurogenic bladder in these patients. Data on physiology and pathophysiology form the basis of our understanding of patients' symptoms, and also provide a basis for the management of these patients. The use of conservative, and/or more invasive treatment measures, their complications and measures to prevent these complications, are all important clinical aspects that merit discussion. Considerable progress has been made in the urological management of patients with SCI over the past decades, but opportunities remain to make diagnosis more accurate and therapy more successful.
机译：在过去的几十年中，患有神经源性膀胱的患者的管理方式发生了巨大变化。在大多数患者中，获得平衡的下尿路功能已成为可能，尽管泌尿外科并发症仍然是这些患者可能患有的最严重的并发症，即使在今天，这些也会对生活质量产生负面影响。在此程度上，脊髓损伤（SCI）的患者很可能会发展为神经源性膀胱，在这些患者的神经源性膀胱的大多数方面都可获得数据。生理和病理生理学数据构成了我们对患者症状理解的基础，也为这些患者的治疗提供了基础。使用保守的和/或更具侵入性的治疗措施，其并发症以及预防这些并发症的措施都是值得讨论的重要临床方面。在过去的几十年中，SCI患者的泌尿外科治疗取得了显着进展，但是仍有机会使诊断更加准确，治疗更加成功。

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