肛肠畸形患儿下尿路功能障碍的发病机制及诊断现状

Q4 Medicine

中华小儿外科杂志 Pub Date : 2019-12-15 DOI:10.3760/CMA.J.ISSN.0253-3006.2019.12.017

Yangyue Huang

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引用次数: 0

摘要

肛肠畸形的功能结局已被认为是影响患者生活质量的重要预后因素。一些儿童并发下尿路功能障碍(LUTD)。LUTD的病因包括脊柱发育异常、骶骨发育不全、医源性损伤、先天性盆底发育不良和术后肠功能障碍。确定LUTD的潜在原因是早期诊断和治疗的先决条件。然而，由于缺乏标准化的术前筛查检查、术后随访和定量的下尿路功能尿动力学评估，导致管理上存在争议。早期诊断和治疗的标准化可以延缓下尿路功能的进一步恶化。关键词:尿动力学;先天性肛肠畸形;下尿路功能障碍

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Pathogenesis and current diagnostics of lower urinary tract dysfunction in children with anorectal malformations

Functional outcome of anorectal malformations has been recognized as a significant prognostic factor of affecting patient's quality-of-life. Some children are complicated with lower urinary tract dysfunction (LUTD). The causes of LUTD include spinal dysraphism, sacral agenesis, iatrogenic injuries, congenital dysplasia of pelvic floor and postoperative bowel dysfunction. Identifying the underlying causes of LUTD is the prerequisite of early diagnosis and treatment. However, lacking standardized preoperative screening examinations, postoperative follow-ups and quantitative urodynamic evaluations of lower urinary tract function leads to controversial managements. An earlier standardization of diagnosis and treatment may delay further aggravation of lower urinary tract function. Key words: Urodynamics; Congenital ano-rectal malformation; Lower urinary tract dysfunction

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来源期刊

中华小儿外科杂志 Medicine-Pediatrics, Perinatology and Child Health

CiteScore

0.40

自引率

0.00%

发文量

8707

期刊介绍： Chinese Journal of Pediatric Surgery is an academic journal sponsored by the Chinese Medical Association. It mainly publishes original research papers, reviews and comments in this field. The journal was founded in 1980 and is included in well-known databases such as Peking University Journal (Chinese Journal of Humanities and Social Sciences) and CSCD Chinese Science Citation Database Source Journal (including extended version). It is one of the national key academic journals under the supervision of the China Association for Science and Technology. Chinese Journal of Pediatric Surgery enjoys a high reputation and influence in the academic community. The articles published in this journal have a high academic level and practical value, providing readers with a large number of practical cases and industry information, and have received widespread attention and citations from readers.