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    STRESS INCONTINENCE OF URINE
    压力性尿失禁
    Surgical treatment of 368 cases spinal bifida associated with urinary incontinence
    脊柱裂合并尿失禁手术治疗——(368例临床分析)
    Result:Thirty-two patients had improvement 4~8 weeks after tolterodine,their maximum residue bladder volume were more than 300ml,comparing with that they would have urge incontinence when the bladder capacity averaged 160ml.
    结果4~8周后32例患者最大导尿容量均大于300ml,与治疗前首次无抑制收缩并发生尿失禁时的平均膀胱容量160ml相比明显增加,其中20例完全无尿失禁发生,获得满意效果,12例患者偶发尿失禁治疗有效,4例患者最大导尿容量小于200ml,治疗无效。
    Strengthened pelvic floor by iliopsoas muscles and cystoplasty in the treatment of neurogenic urine incontinence
    髂腰肌加强盆底肌膀胱成形术治疗小儿神经源性尿失禁
    Bladder neck and pelvic floor suspension for neurogenic urinary incontinence in children
    膀胱颈和盆底肌联合悬吊术治疗儿童神经源性尿失禁
    Botulinum toxin type A repeated injections into detrusor to treat detrusor hyperreflexia and neurogenic incontinence in spinal cord injury patients: 6 cases report
    逼尿肌A型肉毒毒素重复注射治疗脊髓损伤后逼尿肌反射亢进及神经源性尿失禁
    After followed up for an average of 2 8 years, it was found that the patients were free from nocturnal incontinence, with micturition frequency of 5~6/d, and the urinary volume varied from 250 to 500 ml each time.
    其中 5例患者经过平均 2 8年的随访 ,夜间无尿失禁 ,每天排尿 5~ 6次 ,每次尿量 2 5 0~ 5 0 0ml。
    Methods The characteristics of complications, the treatment and the results in 149 inpatients were analyzed.
    方法:对我科治疗的149 例神经源性尿失禁患者住院期间出现的早期术后并发症的特点、治疗方法、治疗结果进行总结分析。
    Mean cystometric volume increased from 95.4 ml to 385.6 ml,mean maximum storage detrusor pressure decreased from 105.8 cmH_2O to 31 cmH_2O. After the second injection,the mean frequency of incontinence decreased from 9.7 /d to 3.7 /d. The mean volume of IC increased from 108.3 ml to 387.2 ml each time.
    第1次注射后平均尿失禁次数由10.1/d降至3.3/d,平均导尿量由98.5 ml/次增至404.2 ml/次,平均最大膀胱测压容积由95.4 ml增至385.6 ml,平均充盈末逼尿肌压力由105.8 cmH2O降至31 cmH2O。
    Mean cystometric bladder storage volume increased from 105.4 ml to 375.6 ml. Mean maximum storage detrusor pressure decreased from 97.8 cmH_2O to 33 cmH_2O. After the third injection,the mean frequency of incontinence decreased from 9.2 /d to 3.9 /d.
    第2次注射后平均尿失禁次数由9.7/d降至3.7/d,平均导尿量由108.3 ml/次增至387.2 ml/次,平均最大膀胱测压容积由105.4 ml增至375.6 ml,平均充盈末逼尿肌压力由97.8 cmH2O降至33 cmH2O。
    The mean volume of IC increased from 115.7 ml to 363.9 ml each time. Mean cystometric volume increased from 102 ml to 357.6 ml. Mean maximum storage detrusor pressure decreased from 98.1 cmH_2O to 36.9 cmH_2O.
    第3次注射后平均尿失禁次数由9.2/d降至3.9/d,平均导尿量由115.7 ml/次增至363.9 ml/次,平均最大膀胱测压容积由102 ml增至357.6 ml,平均充盈末逼尿肌压力由98.1cmH2O降至36.9cmH2O。
 

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