Lü Lei,Wen Jianguo.Term interpretations and clinical applications of urodynamic examinations in children[J].Journal of Clinical Pediatric Surgery,2020,19(11):973-980.[doi:10.3969/j.issn.1671-6353.2020.11.003]
儿童尿流动力学检查相关术语解读与临床应用
- Title:
- Term interpretations and clinical applications of urodynamic examinations in children
- Keywords:
- Urination Disorders; Urodynanics; Child
- 分类号:
- R726.9
- 摘要:
- 儿童排尿功能障碍(pediatric voiding dysfunction,PVD)临床多见,尿动力学检查(urodynamic study,UDS)是评估PVD最客观的方法。UDS临床应用日益普及,越来越广泛地被应用于PVD诊断、鉴别诊断,也用于指导治疗和评估预后。PVD涉及的相关术语和成人UDS基本一致,但在儿童中的应用有其特殊性。国外已经有针对尿流动力学检查相关术语的定义和解释,但国内此内容相对缺乏。本文就PVD相关术语解读和临床应用进行综述,为UDS的临床和科研工作提供参考。
- Abstract:
- Urodynamic examination (UDS) is the most objective tool of evaluating pediatric voiding dysfunction (PVD).The clinical application of UDS is becoming more and more popular and extensively utilized in PVD diagnosis,differential diagnosis,guiding treatment and prognosis.The pediatric terms of PVD are basically the same as adult counterparts.However,its application often has its particularity in children.Definitions and explanations of the relevant terms are available in foreign countries,yet remain absent in China.Here the interpretations and clinical applications of PVD were summarized as references for clinical and scientific researches of UDS.
参考文献/References:
1 Tekgül S,Dogan HS,Hoebeke P,et al.EAU guidelines on paediatric urology[J].Eur Urol,2016:290-323.
2 文建国,李云龙,袁继炎,等.小儿神经源性膀胱诊断和治疗指南[J].中华小儿外科杂志,2015,36(3):163-169.DOI:10.3760/cma.j.issn.0253-3006.2015.03.002. Wen JG,Li YL,Yuan JY,et al.Guidelines for the diagnosis and treatment of neurogenic bladder in children[J].Chin J Pediatr Surg,2015,36(3):163-169.DOI:10.3760/cma.j.issn.0253-3006.2015.03.002.
3 Stein R,Bogaert G,Dogan HS,et al.EAU/ESPU guidelines on the management of neurogenic bladder in children and adolescent part I diagnostics and conservative treatment[J].Neurourol Urodyn,2020,39(1):45-57.DOI:10.1002/nau.24211.
4 Bauer SB,Nijman RJM,Drzewiecki BA,et al.International Children’s Continence Society standardization report on urodynamic studies of the lower urinary tract in children[J].Neurourol Urodyn,2015,34(7):640-647.DOI:10.1002/nau.22783.
5 Van Batavia JP,Combs AJ.The role of non-invasive testing in evaluation and diagnosis of pediatric lower urinary tract dysfunction[J].Curr Urol Rep,2018,19(5):34.DOI:10.1007/s11934-018-0784-1.
6 文建国,刘奎,邢璐,等.小儿尿动力学检查的特殊问题[J].临床泌尿外科杂志,2007,22(4):310-314. DOI:10.3969/j.issn.1001-1420.2007.04.030. Wen JG,Liu K,Xing L,et al.Special problems of urodynamic examination in children[J].Journal of Clinical Urology,2007,22(4):310-314.DOI:10.3969/j.issn.1001-1420.2007.04.030.
7 Austin PF,Bauer SB,Bower W,et al.The standardization of terminology of lower urinary tract function in children and adolescents:update report from the standardization committee of the International Children’s Continence Society[J].Neurourol Urodyn,2016,35(4):471-481.DOI:10.1002/nau.22751.
8 Guerra L,Leonard M,Castagnetti M.Best practice in the assessment of bladder function in infants[J].Ther Adv Urol,2014,6(4):148-164.DOI:10.1177/1756287214528745.
9 Wen JG,Lu Y,Cui L,et al.Bladder function development and its urodynamic evaluation in neonates and infants less than 2 years old[J].Neurourology and urodynamics,2015,34(6):554-560.DOI:10.1002/nau.22626.
10 文建国,高新梅,黄书满,等.非侵入性尿动力学检查在小儿膀胱功能评估中的应用研究[J].中华小儿外科杂志,2014,35(12):936-939.DOI:10.3760/cma.j.issn.0253-3006.2014.12.013. Wen JG,Gao XM,Huang SM,et al.A comparative study of non-invasive versus invasive urodynamic assessment of bladder dysfunction in children[J].Chin J Pediatr Surg,2014,35(12):936-939.DOI:10.3760/cma.j.issn.0253-3006.2014.12.013.
11 吕宇涛,文建国,袁继炎,等.小儿尿动力学检查专家共识[J].中华小儿外科杂志,2014,35(9):711-715.DOI:10.3760/cma.j.issn.0253-3006.2014.09.018. Lü YT,Wen JG,Yuan JY,et al.Expert consensus on pediatric urodynamics examinations[J].Chin J Pediatr Surg,2014,35(9):711-715.DOI:10.3760/cma.j.issn.0253-3006.2014.09.018.
12 邢璐,王亚仑,文建国,等.超声测量膀胱壁厚度预测脊柱裂患儿上尿路损害[J].中华小儿外科杂志,2010,31(10):753-756.DOI:10.3760/cma.j.issn.0253-3006.2010.10.009. Xing L,Wang YL,Wen JG,et al.Predicating injuries of upper urinary tract by ultrasonic measurements of bladder wall thickness in children with spina bifida occulta[J].Chin J Pediatr Surg,2010,31(10):753-756.DOI:10.3760/cma.j.issn.0253-3006.2010.10.009.
13 Bael AM,Lax H,Hirche H,et al.Reference ranges for cystographic bladder capacity in children-with special attention to vesicoureteral reflux[J].J Urol,2006,176(4):1596-1600.DOI:10.1016/j.juro.2006.06.037.
14 Wen JG,Djurhuus JC,Rosier PFWM,et al.ICS educational module:Pressure flow study in children[J].Neurourol Urodyn,2018,37(8):2311-2314.DOI:10.1002/nau.23730.
15 Van Batavia JP,Combs AJ,Hyun G,et al.Simplifying the diagnosis of4 common voiding conditions using uroflow/electromyography,electromyography lag time and voiding history[J].J Urol,2011,186(4):1721-1726.DOI:10.1016/j.juro.2011.04.020.
16 Drzewiecki BA,Bauer SB.Urodynamic testing in children:indications,technique,interpretation and significance[J].J Urol,2011,186(4):1190-1197.DOI:10.1016/j.juro.2011.02.2692.
17 文建国,童尔昌.小儿尿流测定及其临床意义[J].中华小儿外科杂志,1990,11(1):29-31. Wen JG,Tong EC.Measurements and clinical implications of pediatric urodynamic examinations[J].Chin J Pediatr Surg,1990,11(1):29-31.
18 Gupta DK,Sankhwar SN,Goel A.Uroflowmetry nomograms for healthy children 5 to 15 years old[J].J Urol,2013,190(3):1008-1013.DOI:10.1016/j.juro.2013.03.073.
19 李琦,文一博,张瑞莉,等.遗尿患儿初始尿意与强烈尿意时尿流率及残余尿测定分析[J].临床小儿外科杂志,2018,17(7):492-495.DOI:10.3969/j.issn.1671-6353.2018.07.004. Li Q,Wen YB,Zhang RL,et al.Result analysis of urine flow rate and post-voiding residual urine volume under first desire to void versus strong desire to void[J].J Clin Ped Sur,2018,17(7):492-495.DOI:10.3969/j.issn.1671-6353.2018.07.004.
20 孙素珂,杨静,李琦,等.过度憋尿对遗尿患儿自由尿流率和残余尿的影响[J].中华实用儿科临床杂志,2019,34(17):1309-1312.DOI:10.3760/cma.j.issn.2095-428X.2019.17.007. Sun SK,Yang J,Li Q,et al.Effect of bladder overdistention on uroflowmetry and post-void residual urine in children with enuresis[J].Chin J Appl Clin Pediatr,2019,34(17):1309-1312.DOI:10.3760/cma.j.issn.2095-428X.2019.17.007.
21 Holmdahl G,Hanson E,Hanson M,et al.Four-hour voiding observation in healthy infants[J].J Urol,1996:1809-1812.
22 Wen JG,Djurhuus JC,Rosier PFWM,et al.ICS educational module:Cystometry in children[J].Neurourol Urodyn,2018,37(8):2306-2310.DOI:10.1002/NAU.23729.
23 Chin-Peuckert L,Rennick J,Jednak R,et al.Should warm infusion solution be used for urodynamic studies in children? A prospective randomized study[J].J Urol,2004,172(4):1657-1661.DOI:10.1097/01.ju.0000138520.95101.02.
24 Sj?str?m S,Bachelard M,Sixt R,et al.Change of urodynamic patterns in infants with dilating vesicoureteral reflux:3-year followup[J].J Urol,2009,182(5):2446-2454.DOI:10.1016/j.juro.2009.07.057.
25 Chin-Peuckert L,KomLos M,Rennick JE,et al.What is the variability between 2 consecutive cystometries in the same child[J].J Urol,2003,170(4Part2):1614-1617.DOI:10.1097/01.ju.0000084298.49645.27.
26 文建国,姚亚雄,张国贤,等.小儿神经源性膀胱不同充盈期顺应性与上尿路扩张的关系研究[J].临床泌尿外科杂志,2012,27(2):124-128,130.DOI:10.13201/j.issn.1001-1420.2012.02.030. Wen JG,Yao YX,Zhang GX,et al.Relationship between bladder compliance and detrusor pressure at different bladder filling stages and upper urinary tract dilatation[J].Journal of Clinical Urology,2012,27(2):124-128,130.DOI:10.13201/j.issn.1001-1420.2012.02.030.
27 何晓庆,马燕兰,唐金树,等.个体化膀胱安全容量在脊髓损伤患者膀胱功能康复中的应用[J].中华现代护理杂志,2017,23(32):4103-4106.DOI:10.3760/cma.j.issn.1674-2907.2017.32.010. He XQ,Ma YL,Tang JS,et al.Application of individual bladder safe capacity in bladder function rehabilitation among patients with spinal injury[J].Chin J Mod Nurs,2017,23(32):4103-4106.DOI:10.3760/cma.j.issn.1674-2907.2017.32.010.
28 Bachelard M,Sillen U,Hansson S,et al.Urodynamic pattern in asymptomatic infants:Siblings of children with vesicoureteral reflux[J].J Urol,1999,162(5):1733-1738.DOI:10.1016/s0022-5347(05)68226-2.
29 Osman NI,Chapple CR,Abrams P,et al.Detrusor underactivity and the underactive bladder:a new clinical entity?A review of current terminology,definitions,epidemiology,aetiology,and diagnosis[J].Eur Urol,2014,65(2):389-398.DOI:10.1016/j.eururo.2013.10.015.
30 de Kort LMO,Uiterwaal CSPM,Beek EJA,et al.Reliability of voiding cystourethrography to detect urethral obstruction in boys[J].Urology,2004,63(5):967-971.DOI:10.1016/j.urology.2003.11.047.
31 罗娟,徐加龙,刘倩,等.神经源性膀胱括约肌功能障碍患儿下尿路尿动力学表现的研究[J].临床小儿外科杂志,2018,17(7):506-509.DOI:10.3969/j.issn.1671-6353.2018.07.007. Luo J,Xu JL,Liu Q,et al.Urodynamic performance of lower urinary tract in children of neuropathic bladder sphincter dysfunction[J].J Clin Ped Sur,2018,17(7):506-509.DOI:10.3969/j.issn.1671-6353.2018.07.007.
32 Desai DY.A review of urodynamic evaluation in children and its role in the management of boys with posterior urethral valves[J].Indian J Urol,2007,23(4):435-442.DOI:10.4103/0970-1591.36719.
33 Tekgül S,Riedmiller H,Hoebeke P,et al.EAU guidelines on vesicoureteral reflux in children[J].Eur Urol,2012,62(3):534-542.DOI:10.1016/j.eururo.2012.05.059.
34 Hoebeke P,Van Laecke E,Van Camp C,et al.One thousand video-urodynamic studies in children with non-neurogenic bladder sphincter dysfunction[J].BJU Int,2001,87(6):575-580.DOI:10.1046/j.1464-410x.2001.00083.x
35 Wen JG,Li Y,Wang QW.Urodynamic investigation of valve bladder syndrome in children[J].J Pediatr Urol,2007,3(2):118-121.DOI:10.1016/j.jpurol.2006.06.008.
36 吕宇涛,文建国,黄书满,等.影像尿动力学评估先天性膀胱输尿管返流患儿的膀胱功能障碍[J].中华实用儿科临床杂志,2014,29(17):1310-1313.DOI:10.3760/cma.j.issn.2095-428X.2014.17.008. Lü YT,Wen JG,Huang SM.Evaluation of bladder dysfunction in children with congenital vesical ureteral reflux through video-urodynamic examination[J].Chin J Appl Clin Pediatr,2014,29(17):1310-1313.DOI:10.3760/cma.j.issn.2095-428X.2014.17.008.
37 Batinic D,Milo?evic D,Topalovic-Grkovic M,et al.Vesicoureteral reflux and urodynamic dysfunction[J].Urol Int,2013,90(4):480-483.DOI:10.1159/000345713.
38 文建国,朱文.动态尿动力学检查的临床应用进展[J].中华泌尿外科杂志, 2013,34(4):317-320.DOI:10.3760/cma.j.issn.1000-6702.2013.04.024. Wen JG,Zhu W.Advances in clinical applications of dynamic urodynamic examinations[J].Chin J Urol,2013,34(4):317-320.DOI:10.3760/cma.j.issn.1000-6702.2013.04.024.
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备注/Memo
收稿日期:2020-06-12。
基金项目:国家自然科学基金(编号:81670689)
通讯作者:文建国,Email:wenjg@hotmail.com