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[膀胱的力学特性与功能。I. 膀胱在体内的伸展行为]

[Mechanical properties and functions of the urinary bladder. I. Stretch behavior of the bladder in vivo].

作者信息

Saitoh M

机构信息

Department of Urology, Kyoto Prefectural University of Medicine, Japan.

出版信息

Nihon Hinyokika Gakkai Zasshi. 1991 Apr;82(4):628-36. doi: 10.5980/jpnjurol1989.82.628.

DOI:10.5980/jpnjurol1989.82.628
PMID:2051701
Abstract

A stretch test in vivo for living material was newly developed and applied to the dog bladder. The stress-strain curve of the bladder was speed-dependent and with hysteresis. The mechanical properties of the bladder in vivo was essentially viscoelastic. The stress-strain curve of a normal living bladder was downward convex and rose very slowly. On the other hand, that of an extirpated bladder or neurogenic bladder after denervation of the pelvic nerves demonstrated a rapid elevation. A computer analysis based on a visco-elastic simulation model proposed by Glantz was carried out to evaluate changes of the curve under various conditions, which successfully demonstrated the mechanical properties of the bladder. The model proposed by Glantz explained the mechanical properties of the bladder wall. The following formula represented the stress-strain curve by the model: psi = -beta(psi + alpha)2/gamma + beta(psi + alpha) C + alpha 2 beta e beta ct/gamma psi: force, alpha & beta: elastic constant, gamma: viscous constant. According to their properties, alpha was designated as proportional stiffness and beta as exponential stiffness. The three constants, alpha, beta and gamma for the stress-strain curve obtained experimentally from the bladder under different conditions were calculated by computer analysis. Both proportional and exponential stiffness elevated in the extirpated bladder. In the denervated bladder, changes of the constants were not significant immediately after cutting the pelvic nerves. However, the proportional stiffness (alpha) elevated remarkably two weeks after the cutting. Compared with these abnormal bladders, the elastic constants in the normal living bladder were very low. The viscous constant did not change under any conditions that were examined in this study.(ABSTRACT TRUNCATED AT 250 WORDS)

摘要

一种针对活体材料的体内拉伸试验被新开发出来并应用于犬膀胱。膀胱的应力 - 应变曲线与速度有关且具有滞后现象。膀胱在体内的力学性能本质上是粘弹性的。正常活体膀胱的应力 - 应变曲线向下凸且上升非常缓慢。另一方面,切除的膀胱或盆腔神经去神经支配后的神经源性膀胱的应力 - 应变曲线则迅速上升。基于Glantz提出的粘弹性模拟模型进行了计算机分析,以评估在各种条件下曲线的变化,该分析成功地展示了膀胱的力学性能。Glantz提出的模型解释了膀胱壁的力学性能。以下公式由该模型表示应力 - 应变曲线:psi = -beta(psi + alpha)2/gamma + beta(psi + alpha) C + alpha 2 beta e beta ct/gamma,其中psi为力,alpha和beta为弹性常数,gamma为粘性常数。根据它们的性质,alpha被指定为比例刚度,beta为指数刚度。通过计算机分析计算了在不同条件下从膀胱实验获得的应力 - 应变曲线的三个常数alpha、beta和gamma。在切除的膀胱中,比例刚度和指数刚度均升高。在去神经支配的膀胱中,切断盆腔神经后常数的变化立即不显著。然而,切断后两周比例刚度(alpha)显著升高。与这些异常膀胱相比,正常活体膀胱中的弹性常数非常低。在本研究中所检查的任何条件下,粘性常数都没有变化。(摘要截短至250字)

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