Jensen K M, Nielsen K K, Kristensen E S, Dalsgaard J, Qvist N, Krarup T
Scand J Urol Nephrol. 1985;19(2):81-4. doi: 10.3109/00365598509180231.
A prospective study was undertaken to delineate the role of spontaneous uroflowmetry as screening procedure for functional infravesical obstruction (detrusor/sphincter dyssynergia). More than 70% of thirty-nine children referred for urinary tract infections and/or enuresis in the absence of neurological deficits underwent a complete diagnostic program including intravenous urography, voiding cystography and cystoscopy as well as spontaneous uroflowmetry, cystometry-emg and pressure-flow-emg study. The incidence of dyssynergia was 22%. However, neither the flow curve pattern nor single flow variables were able to identify children with dyssynergia. Consequently uroflowmetry seems inefficient in the screening for dyssynergia in neurological normal children with voiding disorders in the absence of anatomical bladder outlet obstruction.
开展了一项前瞻性研究，以阐明自主尿流率测定作为功能性膀胱颈以下梗阻（逼尿肌/括约肌协同失调）筛查方法的作用。在39名因尿路感染和/或遗尿而转诊且无神经功能缺损的儿童中，超过70%的儿童接受了完整的诊断程序，包括静脉肾盂造影、排尿性膀胱尿道造影和膀胱镜检查，以及自主尿流率测定、膀胱测压-肌电图和压力-流率-肌电图研究。协同失调的发生率为22%。然而，无论是尿流曲线模式还是单一尿流变量都无法识别出患有协同失调的儿童。因此，对于无解剖性膀胱出口梗阻的排尿障碍神经功能正常儿童，尿流率测定在筛查协同失调方面似乎效率不高。
