腰椎脊柱狭窄症手术患者的尿路投诉和排泄功能
Bjørn Hjall1, Sigurd Liavaag1, Hans Thorvild Thomassen2
1Orthopedic Department, Sorlandet Hospital, Kristiansand, Norway.
Clinical neurology and neurosurgery
|July 23, 2025
概括
退行性腰椎脊柱狭窄症 (LSS) 手术没有显著改善患者的泌尿功能. 虚空的投诉和膀功能在LSS的减压手术后基本保持不变.
科学领域:
- 神经外科 神经外科
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 脊柱疾病 脊柱疾病
背景情况:
- 退行性腰椎脊柱狭窄症 (LSS) 涉及腰椎的持续囊压缩.
- 关于LSS对尿路功能的影响的研究有限,只有少数患者被研究.
- 调查LSS对排泄症状和泌尿功能的影响至关重要.
研究的目的:
- 为了检查腰椎缩手术前和后的患者的空气投诉和尿功能.
- 评估压缩外科手术对尿路症状和膀功能的影响.
主要方法:
- 预期招募81名因症状性LSS而接受手术的患者 (最终分析中包括60名).
- 使用国际前列腺症状评分 (IPSS) 问卷进行评估.
- 通过手术前和后的超声波评估尿液流量 (Qmax) 和余尿膀体积 (RUV).
主要成果:
- 在术前和术后评估之间,在IPSS,尿液流量计或RUV中没有观察到统计学上显著的差异.
- 35%的患者手术前尿液残留体积 (RUV) 超过100毫升.
- 大多数患者 (89.8%) 呈现出显著的腰部狭窄 (斯基萨斯C或D级).
结论:
- 在需要手术的腰椎脊柱狭窄症患者中,尿路投诉很普遍.
- 对于LSS的压缩性手术并没有导致尿道症状得分,流量或膀排空的显著改善.
- 很大一部分LSS患者在手术前表现出高的尿液残留体积,这表明膀功能障碍的可能性.
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