重视儿童下尿路功能障碍,推进尿动力学检查临床应用  

Pay attention to lower urinary tract dysfunction and the clinical application of urodynamic studies in children

作　　者：文建国[1] Wen Jianguo(Department of Urology,First Affiliated Hospital of Zhengzhou University,Henan Joint International Pediatric Urodynamic Laboratory,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：《中华医学杂志》2022年第38期2981-2983,共3页National Medical Journal of China

基　　金：国家自然科学基金(U1904208)。

摘　　要：下尿路功能障碍(LUTD)指膀胱尿道在储尿期和(或)排尿期存在的功能障碍,分为神经源性和非神经源性两种类型,不及时治疗可引起上尿路损害。尿动力学检查(UDS)能客观地反映逼尿肌和尿道内外括约肌功能及预测LUTD对上尿路的影响,是临床制定精准治疗方案的主要依据。但是,国内儿童UDS的开展尚未普及,影响了LUTD的诊断和治疗。本文就儿童LUTD和儿童UDS的临床应用作一述评,以期为提高儿童LUTD的诊治水平提供一些建议。Lower urinary tract dysfunction(LUTD)is the dysfunction of bladder and urethra during bladder filling and voiding phase.There are two general categories:neurogenic and non-neurogenic.It can cause upper urinary tract damage if left untreated.Urodynamic study(UDS)can objectively detect the function of detrusor and sphincter of urethra as well as predict the damage of LUTD to upper urinary tract.However,the development of UDS for children in China has not been popularized,which affects the accurate diagnosis and the treatment of LUTD.This article reviewed the importance of paying attention to LUTD and promoting the clinical application of UDS in children,so as to improve the diagnosis and treatment of LUTD in children.

关 键 词：儿童 下尿路功能障碍 诊断 治疗 尿动力学 

分 类 号：R726.9[医药卫生—儿科]