Kinahan T J, Churchill B M, McLorie G A, Gilmour R F, Khoury A E
Division of Urology, Hospital for Sick Children, Toronto, Ontario, Canada.
J Urol. 1992 Aug;148(2 Pt 2):600-3. doi: 10.1016/s0022-5347(17)36665-x.
From 1956 to 1991, 49 cases of the prune belly syndrome were seen at our institution. Voiding information and/or 1 or more urodynamic studies were available in 30 male and 4 female patients. Analysis of multiple urodynamic studies during long-term followup periods ranging from 6 months to 19 years, with particular regard to any reconstructive procedures performed, revealed that voiding in the prune belly syndrome is variable, with 44% of the patients achieving spontaneous voiding and 56% requiring clean intermittent catheterization. The ability to void or need for clean intermittent catheterization was by no means permanent, indicating the need for meticulous followup. The 3 distinct voiding patterns observed included an approximately normal pattern, prolonged voiding with a low peak and an intermittent pattern. These 3 voiding patterns did not correlate with residual volumes. Comparison of urodynamic voiding parameters between reconstructed voiding patients and nonreconstructed voiding patients did not show significant differences.
1956年至1991年期间，我院共收治49例梅干腹综合征患者。30例男性和4例女性患者有排尿信息及1项或多项尿动力学研究资料。对随访时间从6个月至19年不等的长期尿动力学研究进行分析，特别关注所实施的任何重建手术，结果显示梅干腹综合征患者的排尿情况各不相同，44%的患者可自主排尿，56%的患者需要清洁间歇性导尿。排尿能力或清洁间歇性导尿的需求并非一成不变，这表明需要进行细致的随访。观察到的3种不同排尿模式包括大致正常模式、高峰压低的排尿延长模式和间歇性模式。这3种排尿模式与残余尿量无关。重建排尿患者与未重建排尿患者的尿动力学排尿参数比较未显示出显著差异。
