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神经性下尿路功能障碍引起的问题,据估计可占当今小儿泌尿临床的25%,因此,近年来倍受临床关注。当代药理学、神经病理学的发展,尿流动力学技术的改进、功能学和影像学密切的结合,使我们对神经性膀胱的认识更深入一步,临床诊治亦因此获得明显的进步。一、临床评价与尿流动力学检查:对任何疑有神经性膀胱的患儿都应作全面的评价,尤其神经学检查。而能最早为临床提供神经异常证据的检查可能是尿流动力学,膀胱内静息压
Neurogenic problems caused by lower urinary tract dysfunction, it is estimated that today can account for 25% of pediatric urology, therefore, much clinical attention in recent years. The development of contemporary pharmacology and neuropathology, the improvement of urodynamics, and the close combination of functional and radiological imaging enable us to further our understanding of neurogenic bladder and to make remarkable progress in clinical diagnosis and treatment. First, the clinical evaluation and urodynamics: Any suspected neurological bladder in children should make a comprehensive assessment, especially neurological examination. The earliest clinical evidence of neurological abnormalities may be checked urodynamics, resting pressure in the bladder