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目的:探讨和分析尿流动力学检查在儿童及青少年遗尿症中的临床价值。方法:对我院诊治的61例遗尿症儿童及青少年进行尿流动力学检查,根据检查结果,并结合其临床症状、体征及其它辅助检查,选择适当的个体化治疗方案。结果:其中有42例尿流动力学检查结果显示异常,占总例数的68.9%;19例尿流动力学检查结果显示无异常发现,占总例数的31.1%。结论:膀胱敏感性增加、膀胱容量相对减小、膀胱逼尿肌无抑制性不稳定收缩、膀胱顺应性和尿道压减低、出现残余尿量是遗尿症儿童及青少年尿流动力学检查结果出现异常的常见原因,行尿动力学检查在一定程度上能为遗尿症儿童及青少年在诊疗方案的选择上提供临床指导和参考。
Objective: To investigate and analyze the clinical value of urodynamics in enuresis of children and adolescents. Methods: Totally 61 children with enuresis and adolescents diagnosed and treated in our hospital were enrolled in this study. According to the examination results, combined with clinical symptoms, signs and other auxiliary examinations, appropriate individualized treatment was selected. Results: Among them, 42 cases showed abnormal urodynamics, accounting for 68.9% of the total cases; 19 cases of urodynamics showed no abnormal findings, accounting for 31.1% of the total cases. CONCLUSIONS: Bladder sensitivity is increased, bladder capacity is relatively reduced, bladder detrusor is inhibited and instablely contracted, bladder compliance and urethral pressure are reduced, residual urine output is abnormal in children and adolescents with nocturnal enuresis Common reasons, urodynamic examination to a certain extent, for enuresis children and adolescents in clinical treatment options to provide clinical guidance and reference.