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17_0477.pdf | 2.04 MB | Adobe PDF | 見る/開く |
タイトル: | 反射性膀胱に対する選択的仙髄神経根切断術 |
その他のタイトル: | An experience of selective sacral rhizotomy applied to a reflex bladder due to spinal cord injury |
著者: | 中新井, 邦夫 板谷, 宏彬 |
著者名の別形: | Nakaarai, Kunio Itatani, Hiroaki |
キーワード: | Adult Denervation Electromyography Female Humans Pressure Sacrum Spinal Cord Injuries/complications Spinal Nerve Roots/surgery Spinal Nerves/surgery Urinary Bladder/physiopathology Urinary Bladder, Neurogenic/etiology/surgery |
発行日: | Jul-1971 |
出版者: | 京都大学医学部泌尿器科学教室 |
誌名: | 泌尿器科紀要 |
巻: | 17 |
号: | 7 |
開始ページ: | 477 |
終了ページ: | 482 |
抄録: | Selective sacral rhizotomy was applied to a forty-year-old female patient suffering from marked reflex bladder due to spinal cord injury. Cauda equina was approached by laminectomy from the fifth lumbar to the second sacral lamina. Nerves bringing contraction of the bladder were easily indentified by electrical stimulation and. divided. After this procedure complete relaxation of the bladder was acquired but difficult urination due to spasms of the external vesical sphincter lasted twenty-eight days after the operation. This sphincter spasm was studied by electromyography. After one hundred days, her urination became smooth and she had no residual urine. No sphincter spasm was seen by electromyography at this time. This procedure should be preferably applied to the patient without marked spasticity of the lower extremities because this procedure is not destructive against other sacral nerves. |
URI: | http://hdl.handle.net/2433/121280 |
PubMed ID: | 5106900 |
出現コレクション: | Vol.17 No.7 |
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