患有多发性硬化症的儿科患者下尿道功能障碍:诊断和管理问题
Maria Laura Sollini1,2, Chiara Pellegrino1, Giulia Barone1,3
1Division of Neuro-Urology, Bambino Gesù Children's Hospital, IRCCS, 00165 Rome, Italy.
Children (Basel, Switzerland)
|May 25, 2024
概括
儿科多发性硬化症 (MS) 可以出现尿路症状,如尿失禁或尿. 早期泌尿器科护理和多学科团队对于在患有多发性硬化症的儿童中管理这些症状至关重要.
科学领域:
- 神经学 神经学
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 儿科 儿科 儿科
背景情况:
- 多发性硬化症 (MS) 发病率在儿童中正在上升.
- 儿童多发性硬化症的症状是多样化的,可以模仿急性神经事件.
- 儿科多发性硬化症的泌尿学表现还没有得到充分的研究.
研究的目的:
- 描述被诊断患有多发性硬化症的儿童的泌尿系统表现.
- 分享关于儿童患者MS相关泌尿病症状的临床经验.
主要方法:
- 对患有多发性硬化症 (克鲁普标准) 和泌尿症状的儿科患者的回顾性评估.
- 数据收集包括人口统计,病史,MRI发现和泌尿学评估.
- 分析尿路症状,尿动力学模式和治疗策略.
主要成果:
- 确定了6例患有尿路症状的儿童多发性硬化症病例.
- 报告了尿失禁 (5名患者) 和尿 (1名患者).
- 泌尿动力学揭示了膀过活和过低活的模式;治疗包括导管,药物和肉毒素.
- 侵袭性泌尿病学评估的接受率较低.
结论:
- 对于儿科患者来说,MS诊断可能是一个巨大的情绪负担.
- 建议将儿科泌尿科医生整合到多学科团队中,以便及时管理儿科MS的泌尿学问题.
- 诊断后迅速的泌尿器科护理对于受影响的儿童至关重要.
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