在儿童下尿道功能障碍中,划出儿童下尿道症状评分和排尿日记之间的诊断一致性
Necmi Bayraktar1, Serdar Tekgul2
1Urology Department, Dr. Burhan Nalbantoglu State Hospital, Nicosia, CYP.
Cureus
|July 28, 2023
概括
儿科下尿道症状评分 (PLUTSS) 预测了儿科下尿道功能障碍 (LUTD) 的治疗成功. 虽然与空白日记 (VD) 相相关,但这两种工具都被推用于全面的儿科LUTD评估.
科学领域:
- 儿科泌尿外科 儿科泌尿外科
- 临床诊断 临床诊断 临床诊断
背景情况:
- 对儿科下尿路症状评分 (PLUTSS) 系统和儿科下尿路功能障碍 (LUTD) 排泄日记 (VD) 的比较评估.
- 探索这些诊断工具的相关性,治疗结果的预后价值,以及与社会人口统计学特征的关系.
研究的目的:
- 为了比较PLUTSS和VD在诊断和预测儿科LUTD治疗结果中的疗效.
- 为了确定PLUTSS在儿科LUTD患者的预后价值.
- 调查社会人口统计因素与LUTD诊断/预后之间的关系.
主要方法:
- 对113名儿科患者 (2005-2006,2022-2023) 的回顾性和前性研究.
- 使用了尿液分析,尿液培养,功能测试,超声波,尿液流量计-EMG和PVR测量.
- 使用PLUTSS评估症状和两天三夜的空白日记.
主要成果:
- 在白天频率和失禁方面发现了PLUTSS和VD之间的实质性相关性.
- PLUTSS被确定为儿科LUTD治疗结果的主要预测因子.
- 社会人口统计因素与LUTD诊断或预后之间没有显著的关联.
结论:
- PLUTSS在儿科LUTD的治疗结果方面显示出显著的预后价值.
- PLUTSS和VD有显著的相关性,但不能互换.
- 建议同时使用PLUTSS和VD用于儿科LUTD的全面诊断,随访和治疗计划.
相关概念视频
01:19Urodynamic Studies: Uroflowmetry
86
Uroflowmetry is a non-invasive urodynamic test designed to measure various aspects of urination, including volume, flow rate, and the time to void. This test is crucial for diagnosing and assessing conditions such as bladder outlet obstruction, bladder dysfunction, incomplete bladder emptying, incontinence, and urinary tract blockages caused by benign prostatic hyperplasia (BPH) and urethral strictures.Pre-Test Instructions:Before a uroflowmetry test, patients are typically advised to drink...
86
01:22Imaging Studies VI: Voiding Cystourethrography and Cystography
32
Voiding Cystourethrography (VCUG) and Cystography are specialized radiographic procedures used to examine the structure and function of the bladder and urethra.Voiding Cystourethrography (VCUG)A Voiding Cystourethrogram (VCUG) is a diagnostic imaging procedure that assesses the anatomy and function of the lower urinary tract. It focuses on the bladder, bladder neck, and urethra, helping detect abnormalities such as vesicoureteral reflux (VUR)—the backward or reverse flow of urine into the...
32
01:30Urinary Tract Infection III: Diagnostic Studies and Interprofessional Care
15
A healthcare provider can diagnose a urinary tract infection (UTI) through several methods:Medical History and Symptoms: The provider will take a detailed medical history and ask about symptoms such as frequent urination, burning sensation during urination, and lower abdominal pain.Urinalysis: A clean-catch urine sample is collected in a sterile container and tested for the presence of bacteria, white blood cells (leukocytes), nitrites, blood, and protein. The presence of leukocytes and...
15
01:19Anatomy of the Genitourinary System II: Bladder and Urethra
135
The lower urinary system consists of the urinary bladder and urethra, which are essential in storing and expelling urine from the body. Together with the internal and external sphincters, these structures work together to regulate urination effectively.Anatomy of the BladderThe urinary bladder is a muscular, stretchable organ behind the pubic bone and in front of the rectum. In females, the bladder is positioned anterior to the vagina and inferior to the uterus, while in males, it is located...
135
01:22Nursing Assessment of the Genitourinary System III: Percussion and Auscultation
41
The genitourinary system maintains the body's fluid balance, waste excretion, and overall homeostasis. Proper assessment is essential for early detection of disorders, with percussion and auscultation integral to this evaluation. These methods help identify signs of kidney or bladder issues and provide important diagnostic clues.Percussion for Kidney TendernessPercussion is used to assess tenderness and detect kidney and bladder abnormalities. A common method for determining kidney tenderness...
41
01:26Nursing Assessment of the Genitourinary System II: Inspection and Palpation
139
The nursing assessment of the genitourinary (GU) system involves a systematic inspection and palpation to identify abnormalities in the kidneys, bladder, and surrounding structures.InspectionMouth: Inspect for signs of kidney dysfunction, such as stomatitis (inflammation of the mouth) and ammonia breath, which may occur in advanced kidney disease due to the buildup of urea, breaking down into ammonia.Skin: Check for pallor, which could indicate anemia caused by kidney disease. Look for...
139