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[遗尿症患儿不建议进行常规尿动力学检查]

[Routine urodynamic studies is not indicated in children with enuresis].

作者信息

Scholtmeijer R J, Nijman J M

机构信息

Academisch Ziekenhuis Rotterdam-Sophia Kinderziekenhuis, afd. Kinderurologie.

出版信息

Ned Tijdschr Geneeskd. 1993 Apr 17;137(16):808-10.

PMID:8487883
Abstract

From January 1980 to January 1992, urodynamic examinations were performed in 339 enuretic children without constipation or anatomical or neurogenic causes of incontinence. Nocturnal enuresis was seen in 178 patients, 130 children suffered from nocturnal and diurnal enuresis, and 31 had only diurnal enuresis. M. detrusor instability was found in 44% of the children and 73% showed more than 15% reduction in functional bladder capacity. In 5% an infravesical obstruction was suspected on pressure-flowmetry and in 12% dysfunctional voiding was seen. Routine urodynamic studies are not indicated in children with enuresis.

摘要

1980年1月至1992年1月,对339名无便秘、解剖学或神经源性失禁原因的遗尿儿童进行了尿动力学检查。178例患者有夜间遗尿,130例儿童有夜间和日间遗尿,31例仅有日间遗尿。44%的儿童发现逼尿肌不稳定,73%的儿童功能性膀胱容量减少超过15%。5%的患者在压力-流率测定中怀疑有膀胱下梗阻,12%的患者有排尿功能障碍。遗尿儿童不建议进行常规尿动力学检查。

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