The Characteristics of Ureteric Jet Doppler Waveforms and Factors Affecting Them in Patients With Spinal Cord Injury
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 42
- 试验地点
- 1
- 主要终点
- doppler USG
研究概览
简要总结
Urinary dysfunction is very common in individuals with spinal cord injury. The urine flowing from the collecting ducts to the renal calyx stretches the calyces. ANS controlled peristaltic contractions originate in the proximal renal pelvis and travel down the ureters, pushing urine from the renal pelvis towards the bladder. The urine bolus delivered from the kidneys through the peristaltic contraction of the ureter creates an image called ureteric jet. Using the Doppler analysis of ureteral jets, previous studies have examined the changes in the ureteric jet pattern in pathological conditions such as the diagnosis of normal ureteral physiology.
详细描述
This cross-sectional study was conducted at a tertiary rehabilitation center. Eighteen spinal cord injury patients who met the inclusion criteria and 24 healthy volunteers were included in the study. The appearance of üreteric jet form and bladder wall thicknesses were obtained by urinary Doppler ultrasound both in patient and control groups. Detrusor pressure and bladder volume were measured only in patient group during urodynamic assessment.
研究设计
- 研究类型
- Observational
- 观察模型
- Case Control
- 时间视角
- Cross Sectional
入排标准
- 年龄范围
- 18 Years 至 65 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •With signs of upper motor neuron lesion,
- •Suprasacral spinal cord injury,
- •Normal urinary ultrasound findings
- •Planned urodynamics
排除标准
- •Neurological disease other than spinal cord injury
- •Urinary tract infection
- •Urinary obstruction
- •History of urinary tract Stones
- •Diabetes, hypertension
- •History of urinary surgery,
- •Sacral injury
- •Second motor neuron lesions (such as cauda equina, or cauda conus)
- •The control group
- •Inclusion Criteria:
- •Normal urinary ultrasonography
- •Exclusion Criteria:
- •Neurological disease
- •Urinary tract infection
- •Urinary obstruction
- •History of urinary tract Stones
- •Diabetes, hypertension
结局指标
主要结局
doppler USG
时间窗: 15-30 minute
The patients included in the study group were given 600 cc of water in the morning and the Doppler USG was performed 30 minutes later
Urodynamic assessment.
时间窗: 30 minute
A transurethral double lumen catheter was used to measure intravesical pressure in the urodynamic unit
次要结局
未报告次要终点
研究者
Yasin Demir
Associate Professor
Gaziler Physical Medicine and Rehabilitation Education and Research Hospital