Stein R, Assion C, Beetz R, Bürst M, Cremer R, Ermert A, Goepel M, Kuwertz-Bröking E, Ludwikowski B, Michael T, Pannek J, Peters H, Rohrmann D, Rübben I, Schröder A, Trollmann R, Thüroff J W, Wagner W
Arbeitskreis Kinder- und Jugendurologie der deutschen Gesellschaft für Urologie, Universitätsmedizin Mainz, Johannes Gutenberg-Universität Mainz, Langenbeck Straße 1, 55131, Mainz, Deutschland,
Urologe A. 2015 Feb;54(2):239-53. doi: 10.1007/s00120-013-3403-2.
The treatment of children and adolescents with meningomyelocele has experienced a clear change in the last 30 years. The establishment of pharmacotherapy, clean intermittent catheterization (CIC) and infection prophylaxis have improved the prognosis for patients and have led to new therapeutic strategies. The interdisciplinary cooperation between neonatologists, neurosurgeons, pediatric neurologists, pediatric urologists, pediatric nephrologists, pediatric orthopedists and pediatric surgeons leads to optimization of individualized therapy. These guidelines present definitions and classifications, investigations and timing which are described in detail. The conservative and operative therapy options for neurogenic bladder function disorders are described and discussed with reference to the current literature. The brief overview provides in each case assistance for the treating physician in the care of this patient group and facilitates the interdisciplinary cooperation.
在过去30年里，患有脊髓脊膜膨出的儿童和青少年的治疗方法发生了明显变化。药物治疗、清洁间歇性导尿（CIC）和感染预防措施的建立改善了患者的预后，并催生了新的治疗策略。新生儿科医生、神经外科医生、儿科神经科医生、儿科泌尿科医生、儿科肾病科医生、儿科骨科医生和儿科外科医生之间的跨学科合作实现了个体化治疗的优化。这些指南详细介绍了定义、分类、检查和时机。文中参照当前文献描述并讨论了神经源性膀胱功能障碍的保守和手术治疗方案。这篇简要概述为治疗医生护理该患者群体提供了各方面的帮助，并促进了跨学科合作。
