Kakizaki H
Department of Urology, Hokkaido University School of Medicine.
Nihon Hinyokika Gakkai Zasshi. 1992 Jul;83(7):1085-93. doi: 10.5980/jpnjurol1989.83.1085.
To investigate functional aspect of sympathetic innervation of the urethral rhabdosphincter, responses of the male feline rhabdosphincter to hypogastric nerve (HGN) stimulation were examined by means of electromyography using fine electrodes. Experiments were performed on 28 normal (N group) and 13 rhizotomized cats under chloralose anesthesia, the latter being further divided into two groups: 4 cats of 1-3 weeks (SR group) and 9 cats of 10-24 weeks (LR groups) after complete sacral rhizotomy. HGN stimulation (1 Hz, 0.3 ms pulse duration, 2-30 V) elicited responses of the rhabdosphincter in N and LR groups. In N group, HGN stimulation still elicited responses of the rhabdosphincter even after pudendal nerve was transected in advance, indicating that these evoked potentials were independent of somatic nerve inflow. The threshold stimuli and latencies of the evoked responses in N group (3.0 +/- 0.2 V, 81.7 +/- 5.7 ms, respectively) were not significantly different from those in LR group (2.9 +/- 0.3 V, 71.5 +/- 10.5 ms), but the amplitudes of the evoked responses were significantly larger in LR group than in N group (110 +/- 12 vs 18 +/- 2 microV, p less than 0.001). These evoked responses of the rhabdosphincter were resistive to prazosin (0.2 mg/kg) and atropine (0.5 mg/kg), but were abolished by hexamethonium (2 mg/min, 10-25 mg) and pancuronium (0.1-0.3 mg/kg) in both groups. In N group, repetitive stimulation (10-20 Hz) of HGN increased activities of the rhabdosphincter when the bladder was empty, but not when the bladder was full enough to trigger the vesicourethral relaxation reflex.(ABSTRACT TRUNCATED AT 250 WORDS)
为研究尿道横纹括约肌交感神经支配的功能方面,使用精细电极通过肌电图检查雄性猫科动物横纹括约肌对腹下神经(HGN)刺激的反应。在氯醛糖麻醉下对28只正常猫(N组)和13只进行了神经根切断术的猫进行实验,后者进一步分为两组:完全骶神经根切断术后1 - 3周的4只猫(SR组)和10 - 24周的9只猫(LR组)。HGN刺激(1Hz,0.3ms脉冲持续时间,2 - 30V)在N组和LR组中均引起横纹括约肌反应。在N组中,即使预先切断阴部神经,HGN刺激仍能引起横纹括约肌反应,表明这些诱发电位与躯体神经传入无关。N组中诱发电反应的阈刺激和潜伏期(分别为3.0±0.2V,81.7±5.7ms)与LR组(2.9±0.3V,71.5±10.5ms)无显著差异,但LR组诱发电反应的幅度明显大于N组(110±12对18±2μV,p<0.001)。两组中横纹括约肌的这些诱发电反应对哌唑嗪(0.2mg/kg)和阿托品(0.5mg/kg)有抗性,但被六甲铵(2mg/min,10 - 25mg)和泮库溴铵(0.1 - 0.3mg/kg)消除。在N组中,当膀胱空虚时,重复刺激(10 - 20Hz)HGN可增加横纹括约肌的活动,但当膀胱充盈到足以触发膀胱尿道舒张反射时则不然。(摘要截取自250字)