Stannard M W, Lebowitz R L
AJR Am J Roentgenol. 1978 May;130(5):959-62. doi: 10.2214/ajr.130.5.959.
Most children who wet have no underlying structural abnormality and will not benefit from urography. However, several conditions may mimic simple enuresis, and in children with clinical clues that suggest these diagnoses, urography can be confirmatory. The urogram should be conducted so as to exclude an anatomic cause for wetting. This is likely in females in the presence of a duplex collecting system, a nonfunctioning kidney, marked vaginal reflux, or a widened interpublic distance. In the urogram of a child of either sex, a spinal anomaly should be sought.
大多数尿床的儿童没有潜在的结构异常，也无法从尿路造影中获益。然而，有几种情况可能会模仿单纯性遗尿，对于有临床线索提示这些诊断的儿童，尿路造影可以起到确诊作用。应进行尿路造影以排除尿床的解剖学原因。女性出现重复收集系统、无功能肾、明显的阴道反流或耻骨联合间距增宽时，出现这种情况的可能性较大。在任何性别的儿童尿路造影中，都应寻找脊柱异常情况。
