Allen T D
J Urol. 1977 Feb;117(2):232-8. doi: 10.1016/s0022-5347(17)58412-8.
The records of 21 children with neuropathic bladder disease are reviewed. The natural history in these cases has been consistent with that of an acquired disorder and the results of urodynamic testing have supported Hinman's contention that the disease is basically a functional one, caused by a discoordination between detrusor contraction and sphincter relaxation. Bladder retraining and specific medication have yielded far better results than were obtained previously by surgical measures alone.
回顾了21例神经性膀胱疾病患儿的病历。这些病例的自然病史与后天性疾病相符,尿动力学测试结果支持欣曼的观点,即该疾病本质上是一种功能性疾病,由逼尿肌收缩和括约肌松弛之间的不协调引起。膀胱再训练和特定药物治疗所取得的效果远比以前仅通过手术措施取得的效果要好得多。