Cass A S
J Urol. 1976 Jan;115(1):102-4. doi: 10.1016/s0022-5347(17)59082-5.
Urinary tract complications such as urinary tract infection, ureteral reflux, upper tract dilatation and incontinence are common with myelomeningocele. Regular urological evaluations, including measurement of residual urine, uranalysis, urine culture, voiding cystourethrogram, excretory urogram and renal function studies, are essential for the diagnosis and management of such complications. Conservative therapy with Crede bladder expression and urethral catheter drainage has been unsuccessful in managing these complications and preventing upper tract deterioration.
诸如尿路感染、输尿管反流、上尿路扩张和尿失禁等泌尿系统并发症在脊髓脊膜膨出患者中很常见。定期进行泌尿外科评估，包括残余尿量测量、尿液分析、尿培养、排尿性膀胱尿道造影、排泄性尿路造影和肾功能检查，对于此类并发症的诊断和管理至关重要。采用克德氏法膀胱按压和尿道导管引流的保守治疗在处理这些并发症和防止上尿路恶化方面并未取得成功。
