神经源性夜遗尿与单症状性夜遗尿尿动力学表现

目的 :探讨神经源性夜遗尿与单症状性夜遗尿的尿动力学表现。方法 :对 36例神经源性夜遗尿患者和14例单症状性夜遗尿患者进行尿动力学测定。结果 :神经源性夜遗尿患者除表现为夜遗尿症状外 ,多伴有白天排尿异常。单症状性夜遗尿患者排尿后残余尿量、逼尿肌功能过度活跃发生率、逼尿肌收缩乏力发生率显著低于神经源性夜遗尿患者 (P <0 .0 5 ) ;单症状性夜遗尿患者膀胱顺应性、最大尿道压和最大尿道闭合压显著高于神经源性夜遗尿患者 (P <0 .0 5 )。结论 :对于夜遗尿患者应区分是否存在神经损害 ,并进行尿动力学检查 ,了解膀胱尿道的功能状态 ,从而进行针对性治疗

Urodynamic studies on neurogenic nocturnal enuresis and monosymptomatic nocturnal enuresis

Aim: To study the urodynamic changes of neurogenic nocturnal enuresis(NNE)and monosymptomatic nocturnal enuresis(MNE). Methods: A total of 36 patients with NNE and 14 patients with MNE were collected and daytime urodynamic examination was performed. Results: The NNE patients were presented with abnormal daytime voiding besides nocturnal enuresis. The post void residual, detrusor instability, detrusor underactivity of the NNE group were significantly higher than those of the MNE group(P<0.05), but the bladder compliance, Max urethral pressure,and Max closure pressure were significantly lower than those of the MNE group(P<0.05). Conclusion: Patients with nocturnal enuresis should be firstly identified whether neurogenic damage exists, and urodynamic study is important to evaluate bladder function in cases with monosymptomatic nocturnal enuresis and neurogenic nocturnal enuresis.