在儿科尿尿失禁中,神圣脊柱的失塑性发展的高发病率
Hideo Ozawa1, Takakuki Shibano2, Isao Tanaka2
1Department of Urology, Mizushima Central Hospital, Kurashiki, Japan.
International neurourology journal
|July 4, 2023
概括
与对照人群相比,尿的儿童患有未融合的圣弧的患病率更高. 这表明,十字椎间盘形可能有助于儿科患者尿尿不全的发展.
科学领域:
- 儿科泌尿外科 儿科泌尿外科
- 放射学 放射学是一门学科.
- 发展生物学 发展生物学
背景情况:
- 尿尿症,或尿床,影响许多儿童,可以有各种潜在的原因.
- 圣椎的发育对于下泌尿道的功能至关重要.
- 之前的研究并没有广泛地比较带有和没有尿液注射的儿童的十字骨发育情况.
研究的目的:
- 为了比较三维计算机断层扫描 (3D-CT) 绘制的圣骨在儿科病人尿尿和对照组.
- 为了研究这两个群体之间的十字融合模式的潜在差异.
主要方法:
- 在47名患有原发性尿尿症的儿童和138名对照人群中,获得了三维CT扫描神经囊区域.
- 在两组中都评估了未融合的十字门 (L4-S3) 的存在或不存在.
- 与年龄和性别匹配的队列进行了比较,以评估圣骨融合.
主要成果:
- 几乎所有患有尿液浸泡的儿童都表现出缺血性圣座弧 (缺乏S1-3的融合).
- 在年龄和性别匹配组 (5-13岁) 中,只有3%的尿液浸泡患者有完全融合的十字门,而对照组的这一比例为63% (P<0.0001).
- 圣弓融合率因年龄而异,年幼的孩子通常表现出更多的未融合的门.
结论:
- 圣椎门通常在10岁时融化.
- 尿的儿童表现出明显更高的未融合的圣骨的患病率.
- 圣椎张力可能在儿科尿泡病的发展中起病理作用.
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