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小鼠经尿道导尿膀胱测压的优化及其与经典耻骨上导尿膀胱测压的比较。

An optimized transurethral catheterization cystometry in mice and comparison with classic suprapubic catheterization cystometry.

作者信息

Xiang Zhuoyi, Li Yaohui, Bian Tingchang, He Minke, Xu Yeqing, Wang Guomin, Guo Jianming, Wang Hang

机构信息

Department of Urology, Zhongshan Hospital, Fudan University, Shanghai, China.

出版信息

Neurourol Urodyn. 2017 Nov;36(8):1965-1971. doi: 10.1002/nau.23223. Epub 2017 Feb 7.

Abstract

AIMS

The aim of this study is to establish an optimized, minimally invasive transurethral catheterization cystometry (TUCC) and a novel urethral pressure profile (UPP) measurement for mice.

METHODS

The optimized TUCC and the UPP measurement were first established. This optimized TUCC was then performed in 16 anesthetized female mice and compared with the suprapubic catheterization cystometry (SCC) in parallel after suprapubic catheters implantation (SCI; on zero, third, and seventh day, respectively). Finally, the optimized TUCC and novel UPP measurement were applied to investigate in another eight mice of partial bladder outlet obstruction (pBOO) model. The urodynamic parameters including micturition pressure (MP), basal pressure (BP), threshold pressure (TP), bladder capacity (BC), micturition volume (MV), residual urine (RV), bladder compliance (COM), maximum urethral pressure (MUP), bladder pressure curve and UPP were recorded. Statistical cross-comparisons of parameters for two kinds of cystometries and pBOO model were performed.

RESULTS

Compared with the optimized TUCC before SCI, the MV, RV, BC, and MP decreased significantly on the seventh day after SCI (270.4-132.5 µL, 46.13-20.09 µL, 316.4-152.5 µL, 30.01-24.34 cmH 0, respectively). After SCI, the BP, MP, TP, MV, RV, BC, and COM showed no significant difference between the TUCC and SCC at the same time point. The MUP increased significantly after pBOO operation (19.1-46.6 cmH 0, P < 0.05).

CONCLUSIONS

The minimally invasive TUCC along with UPP measurement could be widely applied to study the bladder function of mice as a feasible, repeatable, and accessible method.

摘要

目的

本研究旨在建立一种优化的、微创的经尿道导管插入膀胱测压法(TUCC)以及一种用于小鼠的新型尿道压力分布(UPP)测量方法。

方法

首先建立优化的TUCC和UPP测量方法。然后在16只麻醉的雌性小鼠中进行这种优化的TUCC,并在耻骨上导管植入(SCI;分别在第0、3和7天)后与耻骨上导管插入膀胱测压法(SCC)同时进行比较。最后,将优化的TUCC和新型UPP测量方法应用于另外8只部分膀胱出口梗阻(pBOO)模型小鼠。记录尿动力学参数,包括排尿压力(MP)、基础压力(BP)、阈值压力(TP)、膀胱容量(BC)、排尿量(MV)、残余尿量(RV)、膀胱顺应性(COM)、最大尿道压力(MUP)、膀胱压力曲线和UPP。对两种膀胱测压法和pBOO模型的参数进行统计学交叉比较。

结果

与SCI前的优化TUCC相比,SCI后第7天MV、RV、BC和MP显著降低(分别为270.4 - 132.5μL、46.13 - 20.09μL、316.4 - 152.5μL、30.01 - 24.34cmH₂O)。SCI后,在同一时间点TUCC和SCC之间的BP、MP、TP、MV、RV、BC和COM无显著差异。pBOO手术后MUP显著升高(19.1 - 46.6cmH₂O,P < 0.05)。

结论

微创TUCC连同UPP测量作为一种可行、可重复且可及的方法,可广泛应用于研究小鼠的膀胱功能。

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