臨床泌尿器科71巻2号

2017年02月発行

特集 神経因性膀胱の完全制覇

〈末梢神経障害による神経因性膀胱〉

糖尿病における下部尿路機能障害─病態と診療マネジメント

著者： 櫛田信博¹ 赤井畑秀則¹ 小島祥敬¹

所属機関： ¹福島県立医科大学医学部泌尿器科学講座

ページ範囲：P.182 - P.188

文献概要

▶ポイント

・糖尿病による下部尿路機能障害は古典的には膀胱支配神経の障害，いわゆる末梢神経障害が主因と考えられ，低活動膀胱を呈するとされる．

・実際の糖尿病患者の下部尿路症状は蓄尿症状も含め多彩であり，最近ではさまざまな病因があることがわかってきた．

・下部尿路機能障害を的確に診断し，病態を踏まえた治療マネジメントを行う必要がある．

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