| 王斌,赵丽君,苏昭源.儿童功能性排尿障碍诊治进展[J].安徽医药,2026,30(1):22-27. |
| 儿童功能性排尿障碍诊治进展 |
| Progress in the diagnosis and treatment of pediatric dysfunctional voiding |
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| DOI：10.3969/j.issn.1009-6469.2026.01.005 |
| 中文关键词: 排尿障碍 逼尿肌过度活动 逼尿肌活动低下 尿道括约肌 膀胱输尿管反流 儿童 |
| 英文关键词: Urination disorders Detrusor overactivity Underactive detrusor Urethral sphincter Vesicoureteral Children |
| 基金项目:山西省中医药管理局科研课题项目( 2023ZYYC048) |
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| 中文摘要: |
| 儿童功能性排尿障碍(dysfunctional voiding，DV)是指在正常神经个体中由逼尿肌与外括约肌和 /或盆底肌之间缺乏协调引起的异常排尿。其病理情况复杂、临床表现多样，可表现为逼尿肌和括约肌过度活动和(或)功能低下，导致尿失禁、膀胱输尿管反流、反复泌尿系感染，甚至引起上尿路功能损害( upper urinary tract damage，UUTD)严重时可导致肾功能衰竭，同时伴有不同程度的行为和心理障碍，给病儿长期存活及生存质量造成了巨大损失。目前临床上关，于儿童 DV的诊断及相关治疗措施尚不完善。该研究通过对儿童 DV的诊断和治疗进展进行综述，以期为临床提供参考。 |
| 英文摘要: |
| Dysfunctional voiding (DV) in children refers to abnormal urination caused by lack of coordination between the detrusormuscle, the external sphincter and/or pelvic floor muscle in normal nervous individuals. Its pathological condition is complex and itsclinical manifestations are various, which can be characterized by excessive activity and/or low function of detrusor and sphincter, re-sulting in urinary incontinence, vesicoureteral reflux, recurrent urinary tract infection, and even damage to upper urinary tract function.In severe cases, it can lead to renal failure, accompanied by varying degrees of behavioral and psychological disorders, resulting inhuge losses to the long-term survival and quality of life of children. At present, the clinical diagnosis and treatment of DV in childrenare not perfect. This paper reviews the progress in the diagnosis and treatment of DV in children, in order to provide reference for clini-cal practices. |
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