Goepel M, Krege S, Portgys P, Rübben H
Klinik und Poliklinik für Urologie, Universität-Gesamthochschule Essen.
Urologe A. 1999 Jan;38(1):10-3. doi: 10.1007/s001200050237.
Neurogenic bladder dysfunction in childhood is mostly caused by spinal dysraphism. The urologic diagnostic procedure tries to evaluate the underlying form of neurogenic bladder, dysfunction the associated disturbances at the upper tract and the development of changes by body growth. Therapeutic main aim is the conservation and protection of the kidney function and, secondly, the development of social dryness and a form of bladder emptying, that is related to the individual situation and associated disabilities. We report here about the diagnostic procedure and result of a group of 190 patients, that have been seen in our department since birth and for more than ten years continuously. Developmental changes of neurogenic bladder dysfunction has been found in more than 25% of the children. This figure shows the need of life-long close urodynamic follow-up.
儿童神经源性膀胱功能障碍大多由脊柱裂引起。泌尿外科诊断程序试图评估神经源性膀胱的潜在形式、上尿路相关功能障碍以及身体生长导致的变化发展情况。治疗的主要目标是保护肾脏功能，其次是实现社会意义上的干爽以及形成与个体情况和相关残疾相适应的膀胱排空方式。我们在此报告一组自出生起就在我们科室连续就诊十多年的190例患者的诊断程序及结果。超过25%的儿童出现了神经源性膀胱功能障碍的发育性变化。这一数据表明需要进行终身密切的尿动力学随访。
