张大宏 耿昱 李新德 史时芳 张大宏、耿昱、李新德(310016 杭州，浙江医科大学附属邵逸夫医院)；史时芳(浙江医科大学附属第一医院) 中华泌尿外科杂志 1999 0 20 5


    关键词：多系统萎缩,泌尿生殖系功能障碍 期刊 zhmnwkzz 0 论 著 fur -->


    

【摘要 】 目的 认识多系统萎缩病人的泌尿生殖系功能障碍特点。方法 报告4例多系统萎缩病例。 结果 多系统萎缩在泌尿生殖系改变上表现为阳萎、尿潴留、尿失禁等,尿动力学检查有膀胱逼尿肌反射亢进或无反射,影像学检查有不同程度的脑萎缩。 结论 本病是一种以中枢神经系统一定部位萎缩所致的临床病变,而这些萎缩部位在控制泌尿生殖系功能方面起着重要的作用,泌尿生殖系改变与膀胱出口梗阻病变非常相象,如正确诊断,可避免不必要的外科治疗。

Multiple system atrophy andgenitourinary dysfunction ZHANG Dahong ,GENGYu ,LI Xinde ,et al .SHAO Yifu Hospital ,Zhejiang MedicalUniversity ,Hangzhou 310016

【Abstract 】 Objective Torecognize the features of genitourinary dysfunction in multiple system atrophy (MSA). Methods Fourcases of MSA were reviewed. Results Genitourinary dysfunction in MSAcomprised of impotence,urinary retention and incontinence resulted from a combination ofdetrusor hyperreflexia and urethral sphincter weakness followed by failure of detrusorcontraction.MRI and CT show brain atrophy. Conclusions MSA is adisorder characterized by progressive neuronal atrophy at certain sites of the centralnervous system that control the urogenital function.The symptoms simulated those ofbladder outflow obstruction.It is importment to avoid misdiagnosis and unnecessarysurgery.

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