脑瘫患者的下尿路功能障碍
Lower urinary tract dysfunction in cerebral palsy.
作者信息
Reid C J, Borzyskowski M
机构信息
Department of Paediatrics, Guy's Hospital, London.
出版信息
Arch Dis Child. 1993 Jun;68(6):739-42. doi: 10.1136/adc.68.6.739.
Abstract
The clinical features and management of 27 children with cerebral palsy referred with symptoms of lower urinary tract dysfunction were reviewed. The mean age at referral was 9.9 years. Daytime urinary incontinence was the commonest presenting symptom. Videourodynamic studies were abnormal in 23 patients (85%). Only two children had evidence of upper renal tract damage. Treatment was determined by urodynamic findings, and led to improvement in symptoms in all patients for whom there was follow up information. Urinary incontinence may be improved or cured in children with cerebral palsy. These children would therefore benefit from early referral for assessment and treatment.
摘要
回顾了27例因下尿路功能障碍症状转诊的脑瘫患儿的临床特征及治疗情况。转诊时的平均年龄为9.9岁。日间尿失禁是最常见的症状。23例患者（85%）的影像尿动力学检查结果异常。只有两名儿童有上尿路损害的证据。治疗根据尿动力学检查结果确定，所有有随访信息的患者症状均有改善。脑瘫患儿的尿失禁症状可能得到改善或治愈。因此，这些儿童将受益于早期转诊评估和治疗。
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