重视尿动力检查,提高儿童神经源性膀胱诊治水平

Important role of urodynamic study in improving the diagnosis and treatment of pediatric neurogenic bladder

儿童排尿功能障碍多见,其中儿童神经源性膀胱(pediatric neurogenic bladder,PNB)诊治仍面临诸多挑战。PNB多由腰骶部脊髓和神经发育不良所致,严重影响患者生活质量和身心健康,轻者临床症状不明显,重者发生严重上尿路损害。尿动力学检查(UDS)是早期发现和确定膀胱功能障碍类型的最好方法,能指导制定精准和个体化的治疗方案。但我国儿童尿动力学检查尚未普及,严重影响PNB的诊治水平。本文就重视UDS和提高PNB的诊断治疗水平进行述评,为临床提供参考。

Of the common urinary dysfunctions in children,pediatric neurogenic bladder(PNB)is the most challengeable abnormality.It is well known that PNB is mostly caused by dysplasia of the lumbosacral spinal cord and nerves,which seriously affects the quality of life and the physical and mental health of children.The clinical symptoms are not obvious in minor cases,but severe upper urinary tract damage occurs in severe cases.Urodynamic study(UDS)is the best way to detect and determine the type of dysfunction at an early stage,and can guide the formulation of accurate and individualized treatment protocol.However,UDS in children has not been popularized in China,which seriously affects the level of diagnosis and treatment of PNB.This article reviews the importance of UDS so as to provide reference for the diagnosis and treatment of PNB.