Department of Pediatric Nephrology, Dr Sheikh Children Hospital, Naderi Avenue, Taabodi Street, Mashhad, Islamic republic of Iran.
Indian Pediatr. 2012 May;49(5):401-3. doi: 10.1007/s13312-012-0083-8.
Reduced nocturnal bladder capacity has been suggested in the pathogenesis of nocturnal enuresis. This study was conducted to define frequency of bladder dysfunction in enuretic children and determine parameters which might predict bladder dysfunction. 60 children were enrolled. Full urodynamic study (UDS) was done in case of abnormal uroflowmetry, abnormal bladder ultrasound, daytime incontinence and age 10 years. Of 60 patients ultrasound 48 underwent complete UDS. In 11, results of UDS were unreliable. The results were normal in 10 (20.8%) and 27 (56.2%) had abnormal UDS .The study revealed that abnormal UDS is common in enuretic children and overactive bladder is the most common findings. No clinical feature were found, which could identify children requiring UDS.
夜尿症的发病机制中提出夜间膀胱容量减少。本研究旨在确定遗尿儿童膀胱功能障碍的频率,并确定可能预测膀胱功能障碍的参数。共纳入 60 名患儿。在尿流率异常、膀胱超声异常、日间遗尿和年龄 10 岁的情况下进行全面尿动力学研究(UDS)。在 60 例患者中,48 例行完整 UDS,其中 11 例 UDS 结果不可靠。10 例(20.8%)结果正常,27 例(56.2%)UDS 异常。研究表明,遗尿儿童中 UDS 异常较为常见,逼尿肌过度活动是最常见的发现。未发现可识别需要 UDS 的患儿的临床特征。