de la Hunt M N, Deegan S, Scott J E
Department of Paediatric Surgery, Royal Victoria Infirmary, Newcastle upon Tyne.
Arch Dis Child. 1989 Jun;64(6):821-4. doi: 10.1136/adc.64.6.821.
Eighty six children with neuropathic urinary incontinence who had been treated by clean intermittent catheterisation for more than five years were reviewed. Eighty five had congenital lesions, and one traumatic paraplegia. During the day, 72 (84%) patients were dry or had minor stress incontinence only, 11 were damp but controlled with pads, and only three were continuously wet. Eleven abandoned clean intermittent catheterisation, five because of poor control, four by choice despite good control, and only two because of deterioration of upper urinary tract disease. Most of them usually had bacteriuria, but only 32 developed occasional symptomatic infections. Urinary calculi occurred in six, epididymitis in three, and urethral problems in four. Upper urinary tract dilatation did not arise in a previously normal renal system in any patient during clean intermittent catheterisation. Clean intermittent catheterisation was successful in controlling wetting with few serious complications, and was well tolerated. It remains the method of choice for the management of neuropathic urinary incontinence in such children.
对86例采用清洁间歇导尿治疗超过5年的神经性尿失禁儿童进行了回顾性研究。其中85例有先天性病变，1例为创伤性截瘫。白天，72例（84%）患者无尿失禁或仅有轻度压力性尿失禁，11例有潮湿感但使用尿垫可控制，只有3例持续尿湿。11例放弃了清洁间歇导尿，5例是因为控制不佳，4例是自行选择放弃尽管控制良好，只有2例是因为上尿路疾病恶化。他们大多数通常有菌尿，但只有32例偶尔发生有症状的感染。6例发生尿路结石，3例发生附睾炎，4例出现尿道问题。在清洁间歇导尿期间，先前肾脏系统正常的患者均未出现上尿路扩张。清洁间歇导尿成功控制了尿湿，严重并发症少，耐受性良好。它仍然是此类儿童神经性尿失禁治疗的首选方法。
