Ramamurthy H Ravi, Kanitkar Madhuri
Department of Pediatrics, Armed Forces Medical College and Command Hospital, Pune 411040, India.
Indian Pediatr. 2008 Aug;45(8):689-91.
This study was carried out to determine the association of recurrent urinary tract infections with functional voiding disorders. Sixty eight children with suspected functional voiding disorders were prospectively evaluated clinically and by non-invasive urodynamics. Invasive urodynamics were carried out when indicated. Group I comprised 34 children with symptoms suggestive of functional voiding disorders and recurrent urinary tract infections (mean age 6.3+/-2 yr) and Group II comprised 34 children with symptoms suggestive of functional voiding disorders without recurrent urinary tract infections (mean age 6.7+/-2 yr). The underlying bladder abnormalities in Groups I and II were detrusor instability in 22 (64.7%) and 30 (88.2%), respectively (P>0.05) and dysynergic voiding in 10 (29.4%), and 1 (2.9%), respectively (P<0.05). Children with recurrent urinary tract infections are more likely to have a dysynergic voiding pattern than children presenting with other symptoms of functional voiding disorders.
本研究旨在确定复发性尿路感染与功能性排尿障碍之间的关联。对68名疑似功能性排尿障碍的儿童进行了前瞻性临床评估和非侵入性尿动力学检查。必要时进行侵入性尿动力学检查。第一组包括34名有功能性排尿障碍症状和复发性尿路感染的儿童（平均年龄6.3±2岁），第二组包括34名有功能性排尿障碍症状但无复发性尿路感染的儿童（平均年龄6.7±2岁）。第一组和第二组潜在的膀胱异常分别为逼尿肌不稳定，分别有22例（64.7%）和30例（88.2%）（P>0.05），排尿协同失调分别有10例（29.4%）和1例（2.9%）（P<0.05）。与有其他功能性排尿障碍症状的儿童相比，复发性尿路感染的儿童更有可能出现排尿协同失调模式
