尿流动力学在儿童及青少年遗尿中的应用价值

The Clinical Significance of Urodynamic Examination in the Diagnosis and Treatment of Enuresis

目的:探讨和分析尿流动力学检查在儿童及青少年遗尿症中的临床价值。方法:对我院诊治的61例遗尿症儿童及青少年进行尿流动力学检查,根据检查结果,并结合其临床症状、体征及其它辅助检查,选择适当的个体化治疗方案。结果:其中有42例尿流动力学检查结果显示异常,占总例数的68.9%;19例尿流动力学检查结果显示无异常发现,占总例数的31.1%。结论:膀胱敏感性增加、膀胱容量相对减小、膀胱逼尿肌无抑制性不稳定收缩、膀胱顺应性和尿道压减低、出现残余尿量是遗尿症儿童及青少年尿流动力学检查结果出现异常的常见原因,行尿动力学检查在一定程度上能为遗尿症儿童及青少年在诊疗方案的选择上提供临床指导和参考。

Objective： To explore and analyze the value of urodynamic examination in the diagnosis of enuresis in children and adolescents. Methods： 61 cases of enuresis in children and adolescents in my hospital were urodynamic examination, according to the test result, combined with the clinical symptoms, signs and other auxiliary examination, selection of appropriate individualized treatment plan. Results： There were 42 urodynamic examination results showed abnormal, and the rate is 68.9 % of the total.19 cases ofurodynamic examination revealed no abnormal findings, and the rate is 31.1% of the total. Conclusion： Hypersensitivity -bladder, the relative reduc- tion of bladder capacity, detrusor muscle instability, low compliance-bladder, the increasing residual urine were common cause of the children andadolescent with enuresis in the urodynamic examination, Urodynamic data in a certain extent for enuresis in children and adolescents in treatment options to provide clinical guidance and reference.