[Analysis of the risk factors of upper urinary tract dilatation due to spinal cord injury].
OBJECTIVE
To evaluate the urodynamic risk factors of upper urinary tract dilatation (UUTD) secondary to spinal cord injury (SCI).


METHODS
Ninety-six SCI patients of Tangshan earthquake were divided into 2 groups by ultrasonography: 16 SCI patients (group A) with UUTD and 80 SCI patients (group B) without UUTD received urodynamic test. Responses were evaluated using single and multiple analysis after examination.


RESULTS
The incidence of male was significantly higher than that of female. Residual urine volume, maximum cystometric capacity, detrusor leak point pressure and the incidence of bladder low compliance in group A were significantly higher than those in group B. There were no significant differences in age, the incidence of detrusor hyperreflexia, relative safe bladder capacity, the incidence of detrusor-sphincter dyssynergia, maximum flow rate and maximum urethral closure pressure between 2 groups. Bladder low compliance was cardinal risk factors according to Logistic regression analysis.


CONCLUSIONS
An early urodynamic examination and treatment for SCI patients are important to prevent from bladder low compliance and upper urinary tract damage.
Gao
Wei-xing
WX
Department of Urology, Affiliated Hospital of North China Coal Medical College, Tangshan 063000, China. plumber@haoyisheng.com.cn
Li
Xiao-qiang
XQ
Cao
Feng-hong
FH
Wang
Bao-gui
BG
Zhang
Li-guo
LG
Ding
Xue-fei
XF
D000368:Aged; D004108:Dilatation, Pathologic / Q000209:etiology; D005260:Female; D006801:Humans; D016015:Logistic Models; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D012307:Risk Factors; D013119:Spinal Cord Injuries / Q000150:complications*; D014563:Urodynamics; D014570:Urologic Diseases / Q000209:etiology* / Q000503:physiopathology