Alloussi S, Loew F, Mast G J, Jung P, Schwertfeger K, Steffens J, Ziegler M
Urological University Clinic, Homburg/Saar, FRG.
Eur Urol. 1990;17(1):30-4. doi: 10.1159/000463995.
Interstitial cystitis, neurogenic disturbances of bladder emptying resulting from incomplete supranuclear lesions and idiopathic detrusor hyperreflexia are clinically always associated with frequency, nocturia, urgency or urgency incontinence (urge syndrome). These disturbances of bladder emptying are difficult to distinguish, even urodynamically. With selective sacral nerve blockade, it is possible to differentiate between forms urodynamically using a nerve-blocking anesthetic. Reversible selective sacral nerve blockade is also the treatment for idiopathic detrusor hyperreflexia.
间质性膀胱炎、由不完全性核上性病变导致的膀胱排空神经源性障碍以及特发性逼尿肌反射亢进在临床上总是与尿频、夜尿、尿急或急迫性尿失禁(急迫性综合征)相关。这些膀胱排空障碍甚至在尿动力学检查中也难以区分。通过选择性骶神经阻滞,使用神经阻滞麻醉剂在尿动力学上区分不同类型是可能的。可逆性选择性骶神经阻滞也是特发性逼尿肌反射亢进的治疗方法。