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Two Cases of Autoaugmentation Cystoplasty in Spastic Neurogenic Bladder with Vesicoureteral Reflux
¼Ò¼Ó »ó¼¼Á¤º¸
È«¼®¿ø/Seok Won Hong
Á¤Àç¿ø/ÃÖÈ«¿ë/À̱¤¼ö/Jae Won Jung/Hong Yong Choi/Kwang Soo Lee
KMID : 0358319990400040529
Abstract
¹æ±¤°ú¹Ý»ç ¹× ¹æ±¤ÀûÀÀ·ÂÀÇ °¨¼Ò, ¹æ±¤ ¿ëÀûÀÇ °¨¼Ò¿Í ¹æ±¤³»¾Ð »ó½Â, ±×¸®°í ±×¿¡ ÀÇÇÑ
»óºÎ ¿ä·ÎÀÇ ¼Õ»ó°ú °¨¿°À» °¡Áö´Â ½Å°æÀμº¹æ±¤ÀÇ Ã³Ä¡´Â Áö³ ¼ö³â µ¿¾È °³¼±µÇ¾î ¿Ô´Ù.
Ç×Äݸ°¼º ¾àÁ¦ÀÇ Åõ¿©¿Í ÇÔ²² °£ÇæÀû ÀÚ°¡µµ´¢°¡ ½ÃµµµÉ ¼ö ÀÖÀ¸³ª, Áö¼ÓÀûÀÎ ¿ä½Ç±Ý°ú ¹æ
±¤¿ä°ü¿ª·ù°¡ ¾ÇÈµÈ´Ù¸é ¹æ±¤È®´ë¼ú µîÀÇ Àû±ØÀûÀÎ Ä¡·á°¡ ÇÊ¿äÇÏ´Ù.
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ÇÕº´ÁõÀ¸·Î ¹ß»ýÇÒ ¼ö ÀÖ´Â ¹æ±¤¿ä°ü¿ª·ù³ª ¿ä·Î°¨¿°ÁõÀ» ¹æÁöÇÏ¿© ½Å±â´ÉÀ» À¯Áö½ÃÄÑ ÁÖ´Â
°ÍÀÌ´Ù ¾à¹° ¹× ÀÚ°¡µµ´¢¸¸À¸·Î ºÎÁ·ÇÑ »óºÎ¿îµ¿½Å°æ¿ø ÇüÅÂÀÇ ½Å°æ Àμº¹æ±¤ ȯÀÚ¿¡°Ô´Â
¹æ±¤È®´ë¼úÀÌ Ä¡·áÀÇ ¿ì¼±À̶ó°í »ý°¢µÇ¸ç, À̶§ ÀåÀ» ÀÌ¿ëÇÑ È®´ë¼úº¸´Ù´Â ºñ±³Àû °£´ÜÇÑ
ÀÚ°¡¹æ±¤È®´ë¼úÀÌ À¯¿ëÇÏ´Ù°í »ý°¢µÈ´Ù. ƯÈ÷, ¹æ±¤¿ä°ü¿ª·ùÀÇ ÇÕº´ÁõÀÌ ¹ß»ýÇÑ È¯ÀÚ¿¡°Ô´Â
¹æ±¤ ¿ÜºÎ¿¡¼ ½Ç½ÃÇÏ´Â ¿ä°ü¹æ±¤¹®ÇÕ¼ú Áï, Lich-Gregoir¹æ¹ýÀ» º´ÇàÇÒ ¼ö ÀÖ¾î Æí¸®ÇÏ´Ù.
ÀúÀÚµéÀº ¹æ±¤ ¿ëÀûÀÌ °¨¼ÒµÇ°í ¹æ±¤³»¾ÐÀÌ »ó½ÂµÇ¾î ÀÖÀ¸¸ç, ¹æ±¤¿ä°ü¿ª·ù¿Í ¿ä½Ç±ÝÀ» µ¿
¹ÝÇÑ °ú¹Ý»ç¹æ±¤ ȯÀÚ¿¡¼ ÀÚ°¡¹æ±¤È®´ë¼ºÇü¼ú°ú ¿Ü¹æ±¤¿ä°üÀçÀ̽ļúÀ» ½ÃÇàÇÏ¿©, ¹æ±¤ ¿ë
ÀûÀÌ Áõ°¡ÇÏ°í ¹æ±¤³»¾Ðµµ °¨¼ÒÇÏ¿´À¸¸ç, ¿ä½Ç±Ý°ú ¹æ±¤¿ä°ü¿ª·ùÀÇ ¼Ò½ÇÀ» °¡Á®¿Ô´ø ȯÀÚ 2
·Ê¸¦ °æÇèÇÏ¿´±â¿¡ ±× °á°ú¸¦ º¸°íÇÑ´Ù.
Urinary incontinence is an annoying complaint in patients with imbalanced upper
motor neuron lesion, and prevention of vesicoureteral reflux and urinary tract infection is
important for the preservation of renal function. We present two cases of
autoaugmentation cystoplasty and extravesical ureteral reimplantation (Lich-Gregoir
Technique) in paraplegics who have upper motor neuron lesion with vesicoureteral
reflux.
Å°¿öµå
Upper motor neuron lesion; Autoaugmentation cystoplasty;
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