儿童尿动力学异常与初级双侧膀脉反流的儿童
Qian Zhou1, Hongcheng Song1, Dan Li1
1Department of Urology, Beijing Children's Hospital, Capital Medical University, National Center for Children's Health, 100045 Beijing, China.
Archivos espanoles de urologia
|June 5, 2024
概括
双边 (VUR) 在儿童中往往导致膀功能异常,在年轻患者中常见的功能障碍排泄和老年患者中超活性. 严重的VUR与功能下降有关,可能是由于痕.
科学领域:
- 儿科泌尿外科 儿科泌尿外科
- 腎臟病學 (nephrology) 是一種醫學專業.
- 尿动力学 尿动力学 尿动力学
背景情况:
- 双边膀外流 (VUR) 与不良的长期结果有关,其对膀功能影响的研究有限.
- 了解VUR儿童的膀动态对于预测脏健康至关重要.
研究的目的:
- 评估双边VUR儿童的泌尿动力学特征.
- 在这个人群中识别与功能受损相关的因素.
主要方法:
- 对148名双边VUR儿童进行尿动力学评估的回顾性分析 (2019年1月至2023年1月).
- 综合评估包括空白囊回形图,超声波和泌尿动力学.
- 分析重点是尿动力学特征和临床特征.
主要成果:
- 62.2%的儿童 (92/148) 显示出尿动力学异常:20.3%的异常性排泄器过度活跃 (DO) 和39.2%的功能障碍排泄 (DV).
- 在5岁以下的儿童中,DV更常见;在2岁以上的儿童中,异常性DO更常见.
- 严重的双边VUR独立预测异常估计质过率 (eGFR).
结论:
- 功能障碍性排泄 (DV) 与较小儿童的膀体积增加和余尿有关.
- 异常性排泄物过活性 (DO) 与老年儿童的膀体积较小有关.
- 双边严重的VUR增加了功能异常的风险,可能是由于先天性痕,而不是膀功能障碍.
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