Mundy A R, Borzyskowski M, Saxton H M
Br J Urol. 1982 Dec;54(6):645-9. doi: 10.1111/j.1464-410x.1982.tb13616.x.
The findings of the videourodynamic (VUD) assessment of the vesicourethral dysfunction of 103 children with neurological disease are described. Detrusor-sphincter dyssynergia was the main determinant of voiding efficiency and the most important cause of impaired renal function. Storage efficiency was mainly determined by the behaviour of the bladder neck during the filling phase. The response to treatment of the child's incontinence was largely determined by the detrusor compliance. Detrusor contractility was found to be of 2 types distinguishable by several physical and functional characteristics rather than by amplitude alone. This may be of more than just academic and semantic importance. VUD studies are essential if conservative treatment modalities are to be rationally and selectively employed.
本文描述了对103例患有神经疾病儿童的膀胱尿道功能障碍进行视频尿动力学（VUD）评估的结果。逼尿肌-括约肌协同失调是排尿效率的主要决定因素，也是肾功能受损的最重要原因。储尿效率主要由充盈期膀胱颈的行为决定。儿童尿失禁的治疗反应很大程度上取决于逼尿肌顺应性。发现逼尿肌收缩力有两种类型，可通过多种物理和功能特征区分，而非仅靠幅度。这可能不仅仅具有学术和语义上的重要性。如果要合理且有选择地采用保守治疗方式，VUD研究必不可少。
