척수이형성 환아에서의 요류역학적 검사
Urodynamic Study in Children with Myelodysplasia
이정구, 조재홍, 고성건,
소속 상세정보
이정구 ( )
서울대학교
조재홍 ( )
서울대학교
고성건 ( )
서울대학교
KMID : 0358319920330020298
Abstract
A selection of particular typo of neurogenic bladder with a high risk for renal function from urodynamic study in myelodysplasia is important to predict prognosis and to determine treatment plan. With video urodynamic study we tried to know which
type
of bladder dysfunction had a possibility of renal deterioration. Among 39 patients with myelodysplasia, 10 patients had vesicoureteral reflux, In these patients, vesicoureteral reflux was found in 3 of 7 patients with hyperreflexia showing
detrusor-sphincter dyssynergia, 2 of 6 patients with hyperreflexia without showing detrusor-sphincter dyssvnergia and 5 of 10 patients with areflexia showing low compliance. All normal and any other areflexic bladders including relatively high
compliance didn't show vesicoureteral reflux. Upper tract dilatation also showed similar findings, These data show that with. careful urodymic study high risk neurogenic bladder type can be detected and it requires more aggressive treatment to
preserve
renal function.
키워드
원문 및 링크아웃 정보
등재저널 정보