外傷性脊髄損傷患者の泌尿器科学的観察

Abstract

The urological investigation on thirty-three cases of the t raumatic spinal cord injuries resulted in the following data : 1. Cystoscopic findings : T h e inflammation (76%), trabecula formation (.64%), diverticulum formation (24%), changes of the mucous wall between both openings of ureter (64%), or Schlamm's phenomenon (64%) could be frequently observed as described in the respective parentheses. No clincal findings characterized by the localization of the disorder could be seen in supra- and infra-nuclear spinal lesion. 2. Renal function Most of the cases sh o wed the renal dysfunction which was disclosed by P.S.P., the excretion of methylen blue or the hematogenous pyelogram, and this renal dysfunction could be seen in higher ratio in the supranuclear group. 3. There was the sympatheticotonic symptoms in 48.5% of the patien t s. 4. In 22% of all cases the urinary calculus (five vesical calculi , one renal calculus and one ureter calculus) were observed 5. X ray findings : In the pyelogram, the dilated figure of the renal pelvis was observed in about 50%, and also the renal function was affected in the same ratio. in other words, the the trabecula formation was 64%, the prolongation of the vesical apex was 58%, the lowering of the vesical base was 42%, the urethra dilation at the retroce.vical region was 67%, the backward stream from bladder to ureter was 15%, the spasm of the external urethral sphincter was 27% and the dilation of the urethral bulbus was 39%. Further the study of this field should be made not only by the urological sp e cialists but also by the specialists of other medical fields under a close cooperation.