Wang Qingwei,Wen Jianguo.Focusing upon urodynamic testing for a better management of urinary incontinence in children[J].Journal of Clinical Pediatric Surgery,2023,22(02):101-104.[doi:10.3760/cma.j.cn101785-202212007-001]
重视尿动力检查,提高儿童尿失禁诊治水平
- Title:
- Focusing upon urodynamic testing for a better management of urinary incontinence in children
- Keywords:
- Urodynamics; Urinary Incontinence; Diagnosis; Therapy; Child
- 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。
- Abstract:
- 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.
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备注/Memo
收稿日期:2022-12-2。
基金项目:国家自然科学基金(U1904208)
通讯作者:文建国,Email:wenjg@hotmail.com