克罗地亚沿海地区非单症状性夜间遗尿症儿童的尿流率测定
Uroflowmetry in Non-Monosymptomatic Nocturnal Enuresis in Children of Coastal Region of Croatia.
机构信息
Department of Pediatrics, Split University Hospital, University of Split, Split, Croatia.
Department of Obstetrics and Gynecology, Split University Hospital, University of Split, Split, Croatia.
出版信息
Acta Medica (Hradec Kralove). 2020;63(3):113-118. doi: 10.14712/18059694.2020.28.
PURPOSE
The aim of the study was to describe clinical characteristics and bladder assessment in children with Non-Monosymptomatic Nocturnal Enuresis (NMNE) in coastal region of Croatia.
MATERIALS AND METHODS
Records on 85 patients with NMNE were retrospectively reviewed. Bladder assessments were performed in all children. In this research we: (i) compare clinical characteristics and features of bladder assessment: uroflowmetry, post void residuals (PVR) and bladder wall thickness between boys and girls with NMNE and we compare (ii) clinical characteristics and bladder assessment between children with primary and secondary NMNE.
RESULTS
There were 46 girls and 39 boys. The total of 59 children had primary NMNE and 26 children had secondary NMNE. Uroflow pattern was abnormal in 42% of all children with NMNE. Abnormal uroflow pattern in children with NMNE was more often in girls than in boys (P < 0.05) and in children with secondary than in children with primary NMNE (P < 0.05). Ultrasound evidence of bladder wall thickness was more frequent in boys than in girls. Girls were more likely to have dysfunctional voiding and larger residual urinary volume than boys.
CONCLUSIONS
Abnormal uroflow pattern in children with NMNE was more often in girls than boys and in children with secondary than in children with primary NMNE.
目的
本研究旨在描述克罗地亚沿海地区非单症状性夜间遗尿症（NMNE）患儿的临床特征和膀胱评估情况。
材料和方法
回顾性分析了 85 例 NMNE 患儿的病历。对所有患儿均进行膀胱评估。本研究中，我们：（i）比较 NMNE 男、女患儿的临床特征和膀胱评估结果（尿流率、残余尿量和膀胱壁厚度）；（ii）比较原发性和继发性 NMNE 患儿的临床特征和膀胱评估结果。
结果
患儿中女孩 46 例，男孩 39 例。其中原发性 NMNE 患儿 59 例，继发性 NMNE 患儿 26 例。所有 NMNE 患儿中，尿流模式异常者占 42%。NMNE 患儿中，异常尿流模式在女孩中比男孩更常见（P < 0.05），在继发性 NMNE 患儿中比原发性 NMNE 患儿更常见（P < 0.05）。超声检查发现膀胱壁增厚者中男孩多于女孩。与男孩相比，女孩更易出现功能性排尿障碍和残余尿量较大。
结论
NMNE 患儿中，异常尿流模式在女孩中比男孩更常见，在继发性 NMNE 患儿中比原发性 NMNE 患儿更常见。
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