Salinas Casado J, Esteban Fuertes M, Virseda Chamorro M, Rapariz González M, Adot Zurbano J M, Chicharro Almarza J, Resel Estevez L
Cátedra y Servicio de Urología, Hospital Universitario San Carlos, Universidad Complutense, Madrid, España.
Arch Esp Urol. 1994 Jun;47(5):489-97.
The present paper reports the epidemiological, clinical, urodynamic and cystographic data of 100 consecutive patients (mean age 9.59 years) with nocturnal enuresis. These patients were divided into three groups: group I (4 to 7 years old), 23 patients; group II (8 to 11 years old), 51 patients; and group III (12 to 14 years old), 26 patients. Nocturnal enuresis was more frequent in group II (51%). It was more prevalent in males (51%) of groups I and II. Isolated nocturnal enuresis was more frequent (54%) than nocturnal enuresis associated with diurnal symptoms (46%) in all age groups. Urinary infection was observed in 16% and was more prevalent in girls (68.7%). Detrusor instability was the most common urodynamic finding (40%), particularly in group II and girls. Uncoordinated voiding was the second most common urodynamic finding (24%), particularly in group II and girls. Lower urinary tract infection was observed in 1% (males). No abnormal urodynamic data were observed in 19%. Neurogenic bladder was observed in 16%, mainly in group II (31%). Vesicoureteral reflux was detected in 18%, mainly in girls (66.6%) and a postvoiding residual urine in 10%. A diagnostic and prognostic system and a therapeutic strategy based on our data are proposed.
本文报告了100例连续的夜间遗尿患者（平均年龄9.59岁）的流行病学、临床、尿动力学和膀胱造影数据。这些患者被分为三组：第一组（4至7岁），23例患者；第二组（8至11岁），51例患者；第三组（12至14岁），26例患者。夜间遗尿在第二组中更为常见（51%）。在第一组和第二组中，男性的患病率更高（51%）。在所有年龄组中，孤立性夜间遗尿比伴有日间症状的夜间遗尿更为常见（54%对46%）。观察到16%的患者有泌尿系统感染，且在女孩中更为普遍（68.7%）。逼尿肌不稳定是最常见的尿动力学表现（40%），尤其是在第二组和女孩中。排尿不协调是第二常见的尿动力学表现（24%），尤其是在第二组和女孩中。观察到1%的男性有下尿路感染。19%的患者未观察到异常尿动力学数据。观察到16%的患者有神经源性膀胱，主要在第二组（31%）。检测到18%的患者有膀胱输尿管反流，主要在女孩中（66.6%），10%的患者有排尿后残余尿。基于我们的数据，提出了一种诊断和预后系统以及治疗策略。
