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尿动力学下尿路模拟模型的研究——(首次报告)——流体动力学模型的理论评估

[A study of the simulation model of the lower urinary tract for urodynamics--(the first report)--theoretical evaluation of hydrodynamic model].

作者信息

Ohnishi K, Okihara K, Tanaka T, Watanabe M, Hayami H, Ohe H, Watanabe H, Yokobori T, Sasaki S

机构信息

Department of Urology, Kyoto Prefectural University of Medicine.

出版信息

Hinyokika Kiyo. 1991 Oct;37(10):1249-53.

PMID:1721769
Abstract

From the view point of urodynamics, the lower urinary tract might be able to be simulated by a hydrodynamic model, consisting of a spherical balloon corresponding to the bladder and a circular tube to the urethra. In this hydrodynamic model, the diameter of the tube corresponding to the posterior urethra was assumed to become smaller with increase of the prostatic pressure according to the development of BPH. On this assumption, Bernoulli's equation might be adopted. Because of the turbulent flow in the tube, the velocity of flow was expressed as a function of the invariants, which indicated the pressure in the balloon, the respective lengths and diameters of narrow tube and wide tube, coefficients due to pipe friction, pipe fitting and pipe enlargement. The findings suggested that the smaller the diameter of the narrow tube, the smaller the flow volume showed with the development of BPH. In conclusion the urodynamics in the lower urinary tract could be simulated quantitatively by this model. The study may lead to the development of the urodynamic simulation model for the lower urinary tract.

摘要

从尿动力学的角度来看,下尿路或许能够通过一个流体动力学模型来模拟,该模型由一个对应膀胱的球形气囊和一根对应尿道的圆形管道组成。在这个流体动力学模型中,根据良性前列腺增生(BPH)的发展情况,假设对应后尿道的管道直径会随着前列腺压力的增加而变小。基于此假设,或许可以采用伯努利方程。由于管道内的湍流,流速被表示为一些不变量的函数,这些不变量包括气囊内的压力、狭窄管道和宽管道各自的长度与直径、管道摩擦系数、管件系数以及管道扩张系数。研究结果表明,随着BPH的发展,狭窄管道的直径越小,流量也就越小。总之,该模型能够对下尿路的尿动力学进行定量模拟。这项研究可能会推动下尿路尿动力学模拟模型的发展。

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