Rudaitis Sarūnas, Pundziene Birute
Clinic of Children's Diseases, Kaunas University of Medicine, Eiveniu 2, 50009 Kaunas, Lithuania.
Medicina (Kaunas). 2005;41 Suppl 1:16-20.
The purpose of this article was to evaluate function of lower urinary tract for 5-18 years old children with recurrent urinary tract infections and to compare urodynamic changes in two groups: with recurrent lower urinary tract infections and with recurrent upper urinary tract infections. 35 urodynamic studies in 5-18 years old children (3 boys and 32 girls) with recurrent urinary tract infection were performed at the Clinic of Children's Diseases of Kaunas University of Medicine in 2004. 21 of these children had recurrent lower urinary tract infections and 14 recurrent upper urinary tract infections. Changes in urodynamics were present in 91.4% of children: in all children with recurrent lower urinary tract infections and in 11 children with upper recurrent urinary tract infections (78.6%). Detrusor instability was found in 20 (57.1%) children: in 14 (66,7%) with recurrent lower urinary tract infections and in 6 (42.9%) with recurrent upper urinary tract infections. In 32 (85%) children detrusor instability was accompanied by changes in bladder volume. Changes of bladder volume were present for 26 (74.3%) children with recurrent urinary tract infections. Detrusor after contraction was diagnosed in 57.1% of children with recurrent lower urinary tract infections and in 28.6% with recurrent upper urinary tract infections. For children with recurrent urinary tract infections attention for urinary tract dysfunction must be paid.
本文旨在评估5至18岁复发性尿路感染患儿的下尿路功能，并比较两组患儿的尿动力学变化：复发性下尿路感染患儿和复发性上尿路感染患儿。2004年，在考纳斯医科大学儿童疾病诊所对35名5至18岁复发性尿路感染患儿（3名男孩和32名女孩）进行了尿动力学研究。其中21名患儿患有复发性下尿路感染，14名患有复发性上尿路感染。91.4%的患儿存在尿动力学变化：所有复发性下尿路感染患儿以及11名复发性上尿路感染患儿（78.6%）。20名（57.1%）患儿发现逼尿肌不稳定：14名（66.7%）复发性下尿路感染患儿和6名（42.9%）复发性上尿路感染患儿。32名（85%）患儿的逼尿肌不稳定伴有膀胱容量变化。26名（74.3%）复发性尿路感染患儿存在膀胱容量变化。57.1%的复发性下尿路感染患儿和28.6%的复发性上尿路感染患儿被诊断为逼尿肌收缩后。对于复发性尿路感染患儿，必须关注尿路功能障碍。
