Couteau E, Labat J J, Glemain P, Buzelin J M
Clinique Urologique, Hôtel-Dieu, Nantes.
J Urol (Paris). 1989;95(6):347-50.
Changes in bladder contractility were studied by repeated cystomanometry in 147 patients suffering from central medullary lesions of sudden onset, including 93 cases of spinal shock. The morphology of contraction was always modified in the same fashion though intermediate stages were apparent, some being quite characteristic of neurological dysfunction. This process, which ends in a phasic contraction reproduces the stages of ontogenesis. When contractions are present, but do not produce complete bladder emptying, spontaneous improvement is unlikely in the presence of a complete lesion; sphincterotomy should therefore be considered at an early stage.
通过对147例突发中枢髓质病变患者（包括93例脊髓休克患者）反复进行膀胱测压，研究膀胱收缩力的变化。尽管存在中间阶段且有些阶段具有明显的神经功能障碍特征，但收缩形态总是以相同方式改变。这个过程最终以阶段性收缩结束，重现了个体发育的阶段。当存在收缩但不能使膀胱完全排空时，在存在完全性病变的情况下自发改善的可能性不大；因此应尽早考虑行括约肌切开术。
