尿流動(dòng)力學(xué)檢查在兒童遺尿癥診治中的臨床意義
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【摘要】目的討論尿流動(dòng)力學(xué)檢查在兒童遺尿癥診治中的重要性。方法對(duì)203例遺尿癥患兒行尿流動(dòng)力學(xué)檢查(測(cè)定殘余尿、膀胱容量、逼尿肌反射情況、最大尿道壓和最大尿道閉合壓等),根據(jù)檢查結(jié)果指導(dǎo)治療。結(jié)果203例中尿流動(dòng)力學(xué)檢查結(jié)果有一項(xiàng)或一項(xiàng)以上異常的,共有131例,占總數(shù)的64.5%;各項(xiàng)記錄結(jié)果完全正常的,共有72例,占35.5%。結(jié)論高敏感性膀胱、低膀胱順應(yīng)性、逼尿肌不穩(wěn)定收縮、殘余尿增加是遺尿患兒尿流動(dòng)力學(xué)檢查異常的典型表現(xiàn),尿流動(dòng)力學(xué)檢查可為臨床治療提供指導(dǎo)和依據(jù)。
【關(guān)鍵詞】尿流動(dòng)力學(xué)檢查;遺尿癥
The clinical significance of urodynamic examination in the diagnosis and treatment of enuresis LI Fu-lin,LIU Li,LIN Yang,ZHANG Wei.Women and Children Medical Center of Chengdu,Chengdu 610017,China
【Abstract】ObjectiveTo explore the value of urodynamic examination in the diagnosis of enuresis.Methods203 children with enuresis were included in the study,urodynamic examination such as residual urine, capacity of the bladder,detrusor muscle reflexion, maximal urethral pressure and maximal urethral closure pressure were operated. And guidance was made after the investigation.ResultsThere was a total of 131 cases existing at lest an item abnormal in the urodynamic examination, and the rate is 64.5% of the total. The records of the remaining 72 cases were completed normal.ConclusionHypersensitivity-bladder, low compliance-bladder,detrusor muscle instability,the increasing residual urine were the typical manifestations of the children with enuresis in the urodynamic examination ......
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