重视尿动力检查,提高儿童尿失禁诊治水平  

Focusing upon urodynamic testing for a better management of urinary incontinence in children

作　　者：王庆伟[1] 文建国[1] Wang Qingwei;Wen Jianguo(First Affiliated Hospital,Zhengzhou University,International Joint Laboratory of Pediatric Urodynamics and Pelvic Floor in Henan Province,Zhengzhou 450052,China)

机构地区：[1]郑州大学第一附属医院泌尿外科,河南省小儿尿动力国际联合实验室,郑州450052

出　　处：《临床小儿外科杂志》2023年第2期101-104,共4页Journal of Clinical Pediatric Surgery

基　　金：国家自然科学基金(U1904208)

摘　　要：儿童尿失禁(pediatric urinary incontinence,PUI)临床多见,严重影响患儿生活质量和身心健康。PUI病因复杂,类型繁多。间断性尿失禁是最常见类型,儿童以膀胱过度活动/急迫性尿失禁、排尿延迟性尿失禁、功能障碍性排尿或逼尿肌-括约肌协调障碍尿失禁及夜遗尿多见。PUI的发生多与膀胱尿道功能异常有关。尿动力检查(urodynamic study,UDS)是评估膀胱尿道功能的最好方法,从尿流动力学角度观察PUI,对确定PUI的原因与类型,指导治疗决策以及评价治疗效果等具有重要临床应用价值。但我国儿童UDS尚未普及,严重影响了PUI的诊治水平。因此,本文就重视UDS和提高PUI的诊治水平进行评述。Pediatric urinary incontinence(PUI)is a common condition seriously affecting the quality-of-life as well as physical and mental health of children.With a complex etiology,PUI has many types.Intermittent incontinence predominates with bladder overactive/urgent incontinence,delayed urinary incontinence,dysfunctional voiding or incontinence with impaired detrusor-sphincter coordination and nocturnal enuresis.Most cases tend to occur in association with abnormal bladder urethral function.Urodynamic study(UDS)is a gold standard for assessing vesicourethral function to determine the type of functional changes in bladder and urethra associated with PUI.UDS helps to determine the causes and types of incontinence,guiding the choice of treatments and evaluating the effectiveness.UDS is not yet widespread in children in China so that it seriously affects its proper management.This review summarized the latest advances of UDS and its clinical applications in the diagnosis and treatment of PUI.

关 键 词：尿动力学 尿失禁 诊断 治疗 儿童 

分 类 号：R726.9[医药卫生—儿科]