Kawamura S, Kumasaka K, Noro K, Seo K, Kubo T, Ohhori T, Suzuki Y, Suga K, Numasato S
Department of Urology, School of Medicine, Iwate Medical University.
Nihon Hinyokika Gakkai Zasshi. 1991 Nov;82(11):1754-60. doi: 10.5980/jpnjurol1989.82.1754.
The relationship between bladder movements and the intramural ureter was studied in the dog by recording electromyograms of the intramural and extravesical ureters recorded during bladder filling and contraction. Bladder filling was achieved by instilling physiological saline at a rate of 10 ml/min to a volume of 5 ml/kg, while bladder contraction was induced by electrical stimulation. For electromyography, an electrode was inserted transperitoneal into both the extravesical ureter and the intramural ureter after it had been separated from the extravesical ureter. A cystostomy for the instillation of water and another cystostomy for the measurement of intravesical pressure were also made in the bladder. During bladder filling at an intravesical pressure of about 10 cmH2O, the frequency of the action potentials in the intramural ureter showed no significant difference to those in the extravesical ureter. In addition, during bladder contraction at a greatly increased intravesical pressure of about 5 times the precontraction level, the frequency of the action potentials in the intramural ureter was not significant by different from those in the extravesical ureter, and also from its own precontraction value. The above findings suggest that action potentials in the intramural ureter are not affected by bladder movements such as filling or contraction, and that the ureter continues to actively transport urine to the bladder during such movements.
通过记录膀胱充盈和收缩过程中壁内输尿管和膀胱外输尿管的肌电图,研究了狗膀胱运动与壁内输尿管之间的关系。以10毫升/分钟的速度向膀胱内注入生理盐水,直至达到5毫升/千克的体积,从而实现膀胱充盈,而通过电刺激诱导膀胱收缩。进行肌电图检查时,在将壁内输尿管与膀胱外输尿管分离后,经腹膜将电极插入膀胱外输尿管和壁内输尿管。还在膀胱上做了一个用于注水的膀胱造口术和另一个用于测量膀胱内压的膀胱造口术。在膀胱内压约为10厘米水柱的膀胱充盈过程中,壁内输尿管动作电位的频率与膀胱外输尿管的动作电位频率无显著差异。此外,在膀胱收缩过程中,膀胱内压大幅升高至约收缩前水平的5倍时,壁内输尿管动作电位的频率与膀胱外输尿管的动作电位频率无显著差异,也与自身收缩前的值无显著差异。上述研究结果表明,壁内输尿管的动作电位不受膀胱充盈或收缩等膀胱运动的影响,并且在这些运动过程中输尿管继续积极地将尿液输送至膀胱。