脑性瘫痪患儿下尿路功能障碍及膀胱壁厚度的超声评估。
Lower urinary tract dysfunction and ultrasound assessment of bladder wall thickness in children with cerebral palsy.
机构信息
SARAH Network of Rehabilitation Hospitals, Rio de Janeiro Unit, Rio de Janeiro, Brazil.
出版信息
Urology. 2010 Oct;76(4):942-5. doi: 10.1016/j.urology.2010.04.005. Epub 2010 Jul 1.
OBJECTIVES
To evaluate lower urinary tract dysfunction (LUTD) based on questionnaire symptom scoring and ultrasound assessment of bladder wall thickness (BWT) in children with cerebral palsy (CP).
METHODS
A total of 97 children with CP were enrolled in the study. The patients were either symptomatic or asymptomatic with respect to lower urinary tract symptoms. All children underwent a urinary questionnaire and renal ultrasonography. Ultrasound assessment of BWT was completed in 72 cases.
RESULTS
A total of 47 patients were female and 50 were male. The mean age was 8 years 8 months (SD 3 years 1 month), with a range of 5-18 years. Urinary incontinence was present in 43 patients (44.3%). Based on the questionnaire, LUTD was found in 59 patients (60.8%). The mean BWT was 2.30 mm. There was no statistically significant difference between continent and incontinent children (2.46 vs 2.19 mm) or between children with and without LUTD (2.43 vs 2.12 mm).
CONCLUSIONS
LUTD is common in children with CP and occurred in 60.8% of the patients assessed. BWT did not correlate with the presence of bladder dysfunction or incontinence. Ultrasound assessment of BWT was not relevant for diagnosis of lower urinary tract dysfunction.
目的
评估脑瘫（CP）患儿下尿路功能障碍（LUTD），采用问卷症状评分和膀胱壁厚度（BWT）超声评估。
方法
共纳入 97 例 CP 患儿。患儿下尿路症状表现为有症状或无症状。所有患儿均进行尿流动力学问卷和肾脏超声检查。72 例患儿行 BWT 超声评估。
结果
47 例患儿为女性，50 例为男性。平均年龄 8 岁 8 个月（标准差 3 岁 1 个月），年龄范围为 5-18 岁。43 例患儿存在尿失禁（44.3%）。根据问卷，59 例患儿（60.8%）存在 LUTD。BWT 的平均厚度为 2.30 mm。无尿失禁与有尿失禁患儿的 BWT 无显著差异（2.46 比 2.19 mm），存在 LUTD 与无 LUTD 患儿的 BWT 亦无显著差异（2.43 比 2.12 mm）。
结论
CP 患儿中 LUTD 较为常见，60.8%的患儿存在 LUTD。BWT 与膀胱功能障碍或尿失禁无关。BWT 超声评估对诊断下尿路功能障碍无相关性。
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