ADAMENKO OLGA BORISOVNA,Адаменко Ольга Борисовна (RU),POTKINA EHLEONORA ALEKSANDROVNA,Поткина Элеонора Александровна (RU)
申请号：
RU2010128879/14
公开号：
RU0002441596C1
申请日:
2010.07.12
申请国别(地区):
RU
年份:
2012
代理人:
摘要：
FIELD: medicine.SUBSTANCE: invention is referred to the field of medicine, namely to uronephrology, and can be used for differentiated diagnostics and choice of treatment method for disrupted urodynamics of lower urinary tracts in children. The transabdominal ultrasound scanning of urinary bladder and definition of its volume is performed. The volume of residual urine in urinary bladder is measured after voluntary urination of a child. In case a child has age-appropriate physiologic volume of urinary bladder and has no residual urine, the diagnosis is made of constrictive uro-hydronephrosis with congenital constriction of distal section of renal duct located above urine bladder, and the surgical treatment is chosen. If there is residual urine no more than 2 ml/kg of weight of child the diagnosis is made of reflux uro-hydronephrosis with neurogenic dysfunctions and conservative treatment is chosen with operative treatment in case of no effect from treatment till age of 8-10. If age-appropriate physiologic volume of urinary bladder is surpassed by twofold and more and residual urine is present in amount 5 and more ml/kg of child weight the diagnosis is made of bilateral megaureter with abrupt expansion of pelvis, renal ducts, megacystis and conservative treatment is chosen.EFFECT: method provides for objective differentiation of clinical forms of urodynamics disorders depending on morphologic state of lower urinary tracts and for choice of optimal treatment method.1 dwg, 3 exИзобретение относится к медицине, а именно к уронефрологии, и предназначено для дифференциальной диагностики и выбора метода лечения при нарушениях уродинамики нижних мочевых путей у детей. Проводят трансабдоминальное ультразвуковое исследование мочевого пузыря с определением его объема. Определяют объем остаточной мочи в мочевом пузыре после самостоятельного мочеиспускания ребенка. При наличии у ребенка возрастной долженствующей физиологической емкости мочевого пузыря и отсутствии остаточной мочи
