资源有限环境下儿童的原发性膀胱颈梗阻（PBNO）

Primary bladder neck obstruction (PBNO) in children in a resource-limited setting.

作者信息

Mugalo E Lumadede, Akello W Abila, Mburu Nditika E, Kimani Wnfred, Rono D Kipkemoi, Musau Pius

机构信息

Department of Surgery & Anesthesiology Moi University, School of Medicine, Eldoret, Kenya.

Faculty of Health Sciences, Egerton University, Nakuru, Kenya.

出版信息

Urol Case Rep. 2022 Jun 27;44:102150. doi: 10.1016/j.eucr.2022.102150. eCollection 2022 Sep.

DOI:10.1016/j.eucr.2022.102150

PMID:35800150

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9253996/

Abstract

PBNO although rare when missed may have the debilitating effect of obstructive uropathy in children. The gold standard for its diagnosis requires videourodynamics and electromyography (EMG) studies which are not available in nearly all hospitals in developing countries. We present a case demonstrating the usefulness of readily available imaging in diagnosis of PBNO as well as demonstrate effectiveness of alpha blockade in children. MCUG and cystoscopy should suffice in cases of suspected PBNO in neurologically normal children to inform trial of therapy in resource limited settings.

摘要

后尿道瓣膜症（PBNO）虽然罕见，但一旦漏诊，可能会对儿童产生梗阻性尿路病的致残影响。其诊断的金标准需要进行排尿期膀胱尿道造影和肌电图（EMG）检查，而发展中国家几乎所有医院都无法进行这些检查。我们报告一例病例，展示了现成的影像学检查在PBNO诊断中的作用，并证明了α受体阻滞剂在儿童中的有效性。在神经功能正常的疑似PBNO儿童病例中，排尿性膀胱尿道造影和膀胱镜检查应足以在资源有限的情况下为治疗试验提供依据。