儿童遗尿和尿失禁尿动力学临床意义分析

对４２例儿童遗尿和尿失禁的尿动力学研究，发现不稳定膀胱（ＵＳＢ）、逼尿肌／尿道括约肌（Ｄ／Ｓ）协同失调、Ｄ／Ｓ协调、Ｌａｚｙ膀胱、括约肌关闭功能不全和ＵＳＢ伴括约肌关闭功能不全六种异常。形成逼尿肌性、括约肌性、逼尿肌合并括约肌性及充盈性四种尿失禁动力学原因。尿动力学检查对确定尿失禁原因和指导治疗有十分重要的价值。本文还对处理儿童尿液控制功能障碍的部分问题进行了讨论。

Urodynamical study for the etiology of enuresis and urinary incontinence in 42 children

Urodynamci study for the etology of enuresis and urinary incontinence was done in 42 children.It was found that 6 abnormalities including unstable baldder,detrusor-sphincter dyssynergia, detrusor-sphincter synergia,lazy bladder,sphincter incompetence and coexisted unstable bladder and sphincter incompetence were responsible for development of detrusor incontinence,sphincter incontinence,detrusorsphincter incontinence and overflow incontinence.Functional incontinence was the most common type in children,Urodynamical study could distringuish the type of dysfunction and proper and prompt therapy was administered.The management of urinary incontinence in general practice was discussed.