척수손상 혼자에서 간헐적 도뇨법의 장기 추적
long-term Followup of clean Intermittent Catheterization in Spinal cord Injury Patients
이상린, 박원희, 김윤신,
소속 상세정보
이상린 ( )
인하대학교
박원희 ( )
인하대학교
김윤신 ( )
인하대학교
KMID : 0358319970380010059
Abstract
Clean intermittent catheterization(CIC) is known as a safe, acceptable method in patient with neurogenic bladder due to spinal cord injury. We studied retrospectively the long term results of CIC in spinal cord injury patients. A total of 34
patients
(12 upper motor neuron lesion and 22 lower motor neuron lesion) was followed for 7 months to 82 months (average followup 31.5months). Sixteen of 34 patient with high intravesical pressure improved after CIC. Two of 대학교 의과대학 with abnormal
BUN/Cr
level, 13 of 14 with hydronephrosis, and all 12 with vesicoureteral reflux improved after CIC. But one patient with abnormal BUN/Cr was worsen. Before CIC period symptomatic bacteriuria developed in 29 patients, epididymitis in 8 patients and
bladder
stone in 대학교 의과대학 patients. But after CIC, each of them was changed to 15, 병원 and 1. In conclusion, We think that CIC is a good method for preservation of renal function and to decrease the urologic complications. But patients should be
well
motivated, cooperative and able to use their hands for continuous CIC.
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