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

作　　者：王庆伟[1] 文建国[1] WANG Qingwei;WEN Jianguo(Department of Urology,The First Affiliated Hospital of Zhengzhou University,Zhengzhou 450052,China)

机构地区：[1]郑州大学第一附属医院泌尿外科和小儿尿动力中心,河南郑州450052

出　　处：《现代泌尿外科杂志》2023年第4期269-271,共3页Journal of Modern Urology

基　　金：国家自然科学基金项目(No.U1904208)。

摘　　要：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.

关 键 词：儿童 神经源性膀胱 诊断 治疗 尿动力学 

分 类 号：R726.9[医药卫生—儿科]