Vereecken R L
A.Z. Service d'urologie, Leuven, Belgique.
Acta Urol Belg. 1990;58(1):105-15.
In 150 children with enuresis following protocol was applied: a detailed questionnaire, a voiding chart, clinical examination, ultrasound of the kidneys, and uroflow. A tentative treatment based on the flowchart shown in the paper is installed. If after 4-5 weeks no amelioration is observed observation is completed by a urodynamical examination and a permictional urethocystography and the treatment adapted to the results. On this bases each enuresis case could be categorized in one of 4 groups with typical clinical and urodynamical characteristics requiring a specific treatment. The study shows that by an appropriate selective treatment including physical and psychological training and medication nearly all children can get dry.
对150名遗尿症患儿采用了以下方案：详细的问卷调查、排尿图表、临床检查、肾脏超声检查以及尿流检查。根据本文所示的流程图进行初步治疗。如果4至5周后未见改善，则通过尿动力学检查和排尿性尿道膀胱造影完成观察，并根据结果调整治疗方案。基于此，每个遗尿症病例可分为4组中的一组，每组具有典型的临床和尿动力学特征，需要特定的治疗方法。研究表明，通过适当的选择性治疗，包括身体和心理训练以及药物治疗，几乎所有儿童都能实现干爽。
