Hellström P A, Järvelin M R, Kontturi M J, Huttunen N P
Department of Surgery, Oulu University Central Hospital, Finland.
Br J Urol. 1990 Nov;66(5):475-8. doi: 10.1111/j.1464-410x.1990.tb14991.x.
A group of 21 mentally retarded patients with severe, long-standing urinary symptoms underwent urodynamical investigation. The most common abnormalities were detrusor areflexia and detrusor hyper-reflexia. Of 11 patients treated surgically, 10 derived marked benefit. Drugs were successful in reducing micturition problems in 3/6 patients. Severely retarded patients with spastic quadriplegia are difficult to investigate and if this is associated with detrusor hyper-reflexia it is impossible to treat them in any way. Severely retarded patients with detrusor areflexia and infrequent voiding can benefit from bladder outlet surgery. Patients with moderate (especially mild) retardation can be investigated and treated in the same way as non-retarded people.
一组21名患有严重、长期泌尿系统症状的智力迟钝患者接受了尿动力学检查。最常见的异常是逼尿肌无反射和逼尿肌反射亢进。在11名接受手术治疗的患者中，10名获得了显著疗效。药物治疗成功减轻了6名患者中3名的排尿问题。患有痉挛性四肢瘫痪的重度智力迟钝患者很难进行检查，而且如果伴有逼尿肌反射亢进，就无法以任何方式对其进行治疗。患有逼尿肌无反射且排尿不频繁的重度智力迟钝患者可从膀胱出口手术中获益。中度（尤其是轻度）智力迟钝的患者可以像非智力迟钝者一样进行检查和治疗。
