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  • 期刊

A Complex Urinary Tract Anomaly Presenting as Diurnal Enuresis: Report of a Case

以白天及夜晚尿床爲唯一臨床表現的複雜性泌尿系統結構異常

摘要


尿床症是兒童泌尿系統最常見的疾病,也常困擾及影響兒童及其家屬日常生活,尿床症是成因可分成功能性(functional)及器官性(organic),絕大多數皆是功能性所造成。器官性原因以神經系統及泌尿系統疾病爲主,若疏忽不雲治療它,常會有極高的後遣症。我們報告一位八歲兒童臨床上只有表現白天及夜晚皆有尿床的症狀,初步尿液檢查呈現泌尿道感染現象,經更進一步檢查後發現病人是一位兩側複雜性泌尿系統結構性異常,併發右側腎臓發育不良及功能低下,經予手術治療後,臨床症狀改善,整體預後佳。

並列摘要


Enuresis, the most common problem of the urogenital system in childhood, causes misery for most afflicted children and their families. The definite cause of enuresis is considered to be either functional or organic. Primary enuresis is often harmless to children and can be cured or controlled with either pharmacotherapy or behavioral modification therapy. A complex urinary anomaly is a rare cause of primary enuresis Herein, we report a rare patient with a complex urinary anomaly that had primary diurnal enuresis accompanied by an asymptomatic urinary tract infection Although uncommon, the possibility of a urinary tract anomaly should still be considered in patients with primary enuresis to prevent the development of chronic renal insufficiency.

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