Agarwal M, Rath B, Kaza R C, Talukdar B, Puri R K
Department of Pediatrics, Maulana Azad Medical College, New Delhi.
Indian Pediatr. 1995 Mar;32(3):307-11.
Twenty high risk children aged 5-12 years with various voiding problems were studied prospectively by urodynamics to evaluate the function of their urinary bladder and its continence mechanism. None of them had neuropathic bladder or any obstruction distal to bladder neck. Fourteen out of twenty (70%) had abnormal findings on urodynamics evaluation; 8 (40%) had non-neurogenic neurogenic bladder (NNNB); 3 (15%) had small capacity hypertonic bladder (SCHB); 2 (10%) had atonic bladder (AB) and 1 (5%) had hyperreflexic bladder (HB). We conclude that urodynamic abnormalities are as frequent in high risk Indian children as they are in developed countries. The high risk children should be subjected to urodynamic studies more frequently than being done hitherto and be directed to proper therapeutic modality.
对20名年龄在5至12岁、存在各种排尿问题的高危儿童进行了尿动力学前瞻性研究，以评估其膀胱功能及其控尿机制。他们均无神经源性膀胱或膀胱颈远端梗阻。20名儿童中有14名（70%）在尿动力学评估中有异常发现；8名（40%）患有非神经源性神经源性膀胱（NNNB）；3名（15%）患有小容量高张性膀胱（SCHB）；2名（10%）患有无张力膀胱（AB），1名（5%）患有反射亢进性膀胱（HB）。我们得出结论，高危印度儿童尿动力学异常的发生率与发达国家儿童一样高。高危儿童应比以往更频繁地接受尿动力学检查，并接受适当的治疗方式。
