Weerasinghe N, Malone P S
Department of Paediatric Urology, Wessex Centre for Paediatric Surgery, Southampton General Hospital.
Br J Urol. 1993 May;71(5):539-42. doi: 10.1111/j.1464-410x.1993.tb16022.x.
Videourodynamic studies were performed on 57 wet children, 35 of whom were assessed retrospectively and 22 prospectively. Thirty-two studies (56%) were abnormal; detrusor instability or reduced compliance was found in 26, increased bladder sensitivity in 3, detrusor sphincter dyssynergia in 2 and sphincter weakness incontinence in 1. A detailed micturition history sheet and the results of routine preliminary investigations (mid-stream urine and ultrasonography) were used in an attempt to predict the outcome of urodynamics. Since only 5 of the 25 normal studies and 18 of the 32 abnormal studies were correctly predicted, it was concluded that accurate prediction was not possible. Urodynamic investigations are therefore required to identify the underlying cause of wetting and to guide appropriate treatment.
对57名遗尿儿童进行了影像尿动力学研究，其中35名进行回顾性评估，22名进行前瞻性评估。32项研究（56%）结果异常；26例发现逼尿肌不稳定或顺应性降低，3例膀胱敏感性增加，2例逼尿肌括约肌协同失调，1例括约肌无力性尿失禁。使用详细的排尿病史记录和常规初步检查（中段尿和超声检查）结果来预测尿动力学检查结果。由于25项正常研究中只有5项、32项异常研究中只有18项被正确预测，因此得出结论，准确预测是不可能的。因此，需要进行尿动力学检查以确定遗尿的潜在原因并指导适当的治疗。
