Bauer Stuart B
Children's Hospital Boston, Harvard Medical School, Boston, MA 02115, USA.
Pediatr Nephrol. 2008 Apr;23(4):541-51. doi: 10.1007/s00467-008-0764-7. Epub 2008 Feb 13.
A review of the various causes of neurologic impairment to the lower urinary tract in children was the aim of this presentation. The emphasis was on diagnosis, pathophysiology, and treatment that strive to maintain as normal a function as possible in order to achieve eventual urinary continence and health of the upper urinary tract. The latest principles based on the most up to date evidence are promulgated but with an eye towards historical prospective. The reader should gain an adequate understanding of various disorders that comprise this condition and feel comfortable with proposing options for management when faced with the responsibility of caring for an affected child.
本次演讲的目的是回顾儿童下尿路神经功能障碍的各种病因。重点在于诊断、病理生理学和治疗,这些都致力于尽可能维持正常功能,以实现最终的尿失禁和上尿路健康。基于最新证据的最新原则已公布,但也着眼于历史前瞻性。读者应充分了解构成这种情况的各种疾病,并在负责照顾患病儿童时,能够自如地提出管理方案。