Bauer S B, Dyro F M, Krarup C, Colodny A H, Mandell J, Retik A B
Division of Urology, Childrens Hospital, Boston, Massachusetts.
J Urol. 1989 Aug;142(2 Pt 2):589-91; discussion 603-5. doi: 10.1016/s0022-5347(17)38825-0.
Four infants presented with hydroureteronephrosis and incomplete emptying of the bladder secondary to detrusor-sphincter dyssynergia. None of the patients had other signs suggestive of neurological dysfunction. It is presumed but not proved that these infants manifested a urodynamic reaction in response to a perinatal insult involving the brainstem area. Long-term followup has demonstrated a persistent but nonprogressive neurourological disturbance.
四名婴儿因逼尿肌-括约肌协同失调出现输尿管肾盂积水和膀胱排空不全。所有患者均无其他提示神经功能障碍的体征。据推测但未经证实,这些婴儿表现出对涉及脑干区域的围产期损伤的尿动力学反应。长期随访显示存在持续但无进展的神经泌尿系统紊乱。