Chapple Christopher
Sheffield Teaching Hospitals, Sheffield, 10 2 JF, UK.
Handb Exp Pharmacol. 2011(202):1-14. doi: 10.1007/978-3-642-16499-6_1.
This chapter overviews our current knowledge on the subject of the urinary tract, whose fundamental role is to transport urine from the kidneys and then store it at low pressure in the lower urinary tract until it can be voided at a socially convenient time. Current understanding of lower urinary tract function and dysfunction is summarized, with reference to anatomy, innervation, and function. The importance of the neurological system in the normal function of the lower urinary tract is emphasized, with a brief overview of the consequence of neural injury at different levels within the central nervous system. The role of urodynamics in the evaluation of lower urinary tract symptoms is discussed with particular reference to the currently recommended terminology advocated by the International Continence Society and The International Urogynaecological Association.
本章概述了我们目前对尿路这一主题的认识,其基本作用是将尿液从肾脏输送出来,然后在低压下将其储存在下尿路,直到能在社交方便的时间排出。参考解剖结构、神经支配和功能,总结了目前对下尿路功能及功能障碍的理解。强调了神经系统在下尿路正常功能中的重要性,并简要概述了中枢神经系统内不同水平神经损伤的后果。特别参照国际尿控协会和国际妇女性泌尿学协会目前推荐的术语,讨论了尿动力学在下尿路症状评估中的作用。