Brereton R J, Zachary R B, Lister J
Arch Dis Child. 1977 Sep;52(9):703-7. doi: 10.1136/adc.52.9.703.
In a consecutive series of 200 neonates having undergone surgery for open myelomeningocele, 24 of the 106 survivors at 10 to 12 years of age proved to be continent of urine. These figures included 11 children who had considerable neurological involvement. 4 children did not acquire urinary control until after the age of 5 years. Therefore, we consider early urinary diversion in children with myelomeningocele, even in the presence of neurological deficit, to be indicated only for the prevention of progressive deterioration in renal function. Incontinence of urine itself is not an indication for urinary diversion in the first decade of life.
在连续接受开放性脊髓脊膜膨出手术的200例新生儿中，106名10至12岁的幸存者中有24例排尿自控。这些数据包括11名有明显神经功能受累的儿童。4名儿童直到5岁以后才获得排尿控制。因此，我们认为脊髓脊膜膨出患儿即使存在神经功能缺损，早期尿流改道仅适用于预防肾功能进行性恶化。在生命的第一个十年中，尿失禁本身并不是尿流改道的指征。
