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首页> 外文期刊>Journal of Clinical and Diagnostic Research >Sacral Agenesis- Its Urological Impact and Managemen
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Sacral Agenesis- Its Urological Impact and Managemen

机译：骶骨刺激 - 它是神经系统的影响和管理

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Sacral agenesis is a rare developmental disorder, in which there is absence of part or all of two or more sacral vertebral bodies. It is mostly associated with dysfunction of bowel, bladder and neuromuscular system of lower limbs. Voiding impairment (neurogenic bladder), Vescico-Ureteric Reflux (VUR) together with urinary tract infection contribute to renal injury. Here authors are reporting an 11-year-old female, who was diagnosed to have sacral agenesis with anorectal malformation at the age of six months, leading to anal transpositioning done at that age, she presented to the Urology Department with acute kidney injury. On evaluation, she was found to have overactive bladder with increased bladder capacity and bilateral grade 5 VUR. After recovery from acute kidney injury with conservative management and catherization, she was discharged with the advice of clean intermittent catheterization and anticholinergic drug. On follow-up, she was doing well. Early diagnosis and long term follow-up is required in the patients having sacral agenesis with multidisciplinary team including urologist, as these patients may develop lower urinary tract symptoms, VUR and kidney injury at any time in their growth period.
机译：骶刺伤是一种罕见的发育障碍，其中没有部分或全部两种或更多种骶骨椎体。它主要与肠，膀胱和下肢神经肌肉系统的功能障碍有关。空隙损伤（神经源性膀胱），Vescico输尿管反流（VUR）以及泌尿道感染有助于肾损伤。这里提交人报告了一个11岁的女性，他被诊断为六个月患者患有肛门直肠畸形的骶骨畸形，导致在该年龄段进行肛门换定位，她向泌尿外科患有急性肾脏伤害。在评估中，她被发现有过度活跃的膀胱，膀胱容量增加和双边5级Vur。从急性肾脏伤害恢复到保守管理和凯瑟拉，她与清洁间歇导管和抗胆碱能药物的建议进行了出院。在随访时，她做得很好。患有早期诊断和长期随访，患有泌尿科医生，包括泌尿科医生，因为这些患者在其增长期的任何时候可能会在任何时候发育尿路症状，VUR和肾损伤。

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