Kass E J, Diokno A C, Montealegre A
J Urol. 1979 Jun;121(6):794-6. doi: 10.1016/s0022-5347(17)56996-7.
We studied 115 consecutive cases of primary enuresis. Excretory urography, urodynamic testing and endoscopy are needed only in children with enuresis and concomitant urinary infection. A detailed urologic history was the most important factor in deciding upon a treatment program. Children with diurnal and nocturnal enuresis or nocturnal enuresis and daytime urgency and frequency of urination are started on anticholinergic medication. Girls with enuresis and urinary infection also are started on anticholinergic medication. Significant improvement occurs in up to 90% of the patients. Children with only nocturnal enuresis and no other symptoms are started on imipramine with a 70% improvement rate.
我们研究了115例连续性原发性遗尿症患者。仅对患有遗尿症并伴有泌尿系统感染的儿童需要进行排泄性尿路造影、尿动力学检查和内窥镜检查。详细的泌尿科病史是决定治疗方案的最重要因素。患有日间和夜间遗尿症或夜间遗尿症以及白天尿急和尿频的儿童开始使用抗胆碱能药物治疗。患有遗尿症和泌尿系统感染的女孩也开始使用抗胆碱能药物治疗。高达90%的患者有显著改善。仅患有夜间遗尿症且无其他症状的儿童开始使用丙咪嗪治疗，改善率为70%。
