上海交通大学学报(医学版) ›› 2018, Vol. 38 ›› Issue (9): 1116-.doi: 10.3969/j.issn.1674-8115.2018.09.019

• 综述 • 上一篇    下一篇

脊髓损伤神经源性肠道功能障碍研究进展

高涛,朱晓中,鲍丙波,李星玮,郑宪友   

  1. 上海交通大学附属第六人民医院骨科,上海 200233
  • 出版日期:2018-09-28 发布日期:2018-10-15
  • 通讯作者: 郑宪友,电子信箱:zhengxianyou@126.com。
  • 作者简介:高涛(1994—),男,硕士生;电子信箱: gaotaofenzi@163.com。
  • 基金资助:
    国家自然科学基金( 81672144);上海市教育委员会高峰高原学科建设计划( 20161429)

Research progress of neurogenic bowel dysfunction in spinal cord injury

GAO Tao, ZHU Xiao-zhong, BAO Bing-bo, LI Xing-wei, ZHENG Xian-you   

  1. Department of Orthopaedics, Shanghai Sixth Peoples Hospital, Shanghai Jiao Tong University, Shanghai 200233, China
  • Online:2018-09-28 Published:2018-10-15
  • Supported by:
    National Natural Science Foundation of China, 81672144; Shanghai Municipal Education Commission—Gaofeng Clinical Medicine Support, 20161429

摘要: 脊髓损伤具有高发生率、高致残率、高耗费以及低龄化等特点,给患者及社会造成巨大负担。神经源性肠道功能障碍为脊髓损伤的严重并发症之一,常表现为便秘、大便失禁等,严重限制患者社交活动,降低患者生活质量,是临床上亟待解决的一大难题。近年来,对于脊髓损伤后神经源性肠道功能障碍的关注日益提升。该文就其流行病学、分类、病理生理机制、诊断以及治疗方法等进行综述。

关键词: 脊髓损伤, 神经源性肠道功能障碍, 诊断, 治疗

Abstract:

Spinal cord injury has the characteristics of high incidence, high disability, high cost and younger age. It imposes a huge burden on patients and society. Neurogenic bowel dysfunction is one of the serious complications of spinal cord injury. It often manifests as constipation and fecal incontinence, which severely limit the social activities of patients and reduce the quality of life. It is a major problem for clinicians to solve. In recent years, the concern for neurogenic bowel dysfunction after spinal cord injury has been increasing. This article reviewed its epidemiology, classification, pathophysiological, diagnosis and treatment.

Key words: spinal cord injury, neurogenic bowel dysfunction, diagnosis, treatment

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