Kalra V, Palaksha H K
Department of Pediatrics, All India Institute of Medical Sciences, New Delhi.
J Child Neurol. 1999 Aug;14(8):541-3. doi: 10.1177/088307389901400812.
The etiology of persistent functional enuresis in children is ill understood. A wide range of therapeutic modalities have been tried. During investigations preceding a trial of laser reflexo therapy in functional enuretic children aged 7 to 10 years spina bifida occulta was observed in 86.6% of subjects. The lesions were predominantly at the L5-6 level. There were no cutaneous stigmata in the form of lipoma, tufts of hair, or dermal sinus at the back. Neurologic examination was unremarkable and there were no associated skeletal malformations. This strong association of spina bifida occulta with functional enuresis is higher than the reported incidence of 16.5% to 34% in normal children. This strong association hitherto unreported, raises an interesting issue in the search for the etiopathogenesis of functional enuresis.
儿童持续性功能性遗尿症的病因尚不清楚。人们尝试了多种治疗方法。在对7至10岁功能性遗尿儿童进行激光反射疗法试验之前的调查中，86.6%的受试者发现有隐性脊柱裂。病变主要位于L5 - 6水平。背部没有脂肪瘤、毛发簇或皮窦等皮肤体征。神经系统检查无异常，也没有相关的骨骼畸形。隐性脊柱裂与功能性遗尿症的这种强关联高于正常儿童报道的16.5%至34%的发病率。这种迄今为止未被报道的强关联，在探索功能性遗尿症的病因发病机制方面提出了一个有趣的问题。
