Department of Pediatrics, Kasr Al Ainy School of Medicine, Cairo University, Cairo, Egypt.
Nephrology Clinic, Children's Hospital, Faculty of Medicine, Cairo University, Cairo, Egypt.
Clin Pediatr (Phila). 2023 Jan;62(1):33-38. doi: 10.1177/00099228221109998. Epub 2022 Jul 19.
Enuresis is one of the most common childhood problems. Our study aimed to evaluate children with enuresis by renal bladder ultrasound (RBUS) to detect urological abnormalities and to compare the sonographic findings with control group.
Our study included 30 children with primary monosymptomatic nocturnal enuresis (PMNE). Another 30 matched children with normal continence to urine were assigned as controls. The 2 groups were subjected to urine analysis, serum creatinine, and RBUS.
Ultrasound showed abnormality in 10% of case group, which was not significantly different from controls ( = 1.000).
Abnormalities discovered by ultrasonography in PMNE are more than in control group but without statistical significance and do not require invasive diagnostic tests. Children with sonographic abnormalities appear to be more resistant to treatment. We concluded that ultrasound is not necessary in MPNE and should be done in patients resistant to treatment.
遗尿症是儿童期最常见的问题之一。我们的研究旨在通过肾脏膀胱超声(RBUS)评估遗尿症患儿,以发现泌尿系统异常,并将超声结果与对照组进行比较。
我们的研究纳入了 30 例原发性单纯性夜间遗尿症(PMNE)患儿。另外 30 例具有正常控尿的匹配儿童作为对照组。两组均进行尿液分析、血清肌酐和 RBUS 检查。
超声显示病例组有 10%存在异常,与对照组相比无显著差异(=1.000)。
PMNE 患儿超声发现的异常多于对照组,但无统计学意义,不需要进行有创性诊断性检查。超声异常的患儿似乎对治疗更有抵抗力。我们得出结论,在 MPNE 中超声不是必需的,应在对治疗有抵抗的患者中进行。