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目的对儿童原发性遗尿症的临床表现及其腰骶椎摄片进行分析,对隐性脊柱裂与遗尿症的相关性进行全面的认识。方法对95例遗尿症患儿均进行全面体格检查、实验室检查、B超检查及腰骶椎摄片等检查。结果本组95例遗尿症患儿中,隐性脊柱裂77例,无隐性脊柱裂18例,其隐性脊柱裂发生率为81%,远远高于一般儿童隐性脊柱裂发生率。结论隐性脊柱裂的存在与原发性遗尿症有明显相关性。腰骶椎摄片能够排除脊柱其他疾患,确诊隐性脊柱裂并明确隐性脊柱裂部位和范围。充分认识遗尿症,对原发性遗尿症应尽早作出诊断,及时进行相应治疗,以保证儿童健康成长。
Objective To analyze the clinical manifestations of children with primary enuresis and their lumbosacral radiography and to make a comprehensive understanding of the relationship between occult spina bifida and enuresis. Methods A total of 95 cases of enuresis were examined by physical examination, laboratory tests, B-ultrasound and lumbosacral radiography. Results Of the 95 cases of enuresis in this group, there were 77 cases of recessive spina bifida and 18 cases of recessive spina bifida. The incidence of recessive spina bifida was 81%, much higher than the incidence of recessive spina bifida in children. Conclusions The presence of occult spina bifida is significantly associated with primary enuresis. Lumbosacral radiography can exclude other disorders of the spine, diagnosis of latent spina bifida and clear recessive spine location and range. Fully understand enuresis, diagnosis of primary enuresis should be made as soon as possible, timely treatment, in order to ensure the healthy growth of children.