Fall M, Ohlsson B L, Carlsson C A
Urodynamic Laboratory, Sahlgrenska University Hospital, Göteborg, Sweden.
Br J Urol. 1989 Oct;64(4):368-73. doi: 10.1111/j.1464-410x.1989.tb06045.x.
The aetiology and pathogenesis of bladder overactivity are very variable and the classification is rather crude. By careful interpretation of clinical findings and urodynamic assessments, refinement of the diagnosis is possible. From a therapeutic and prognostic stand-point, it is of interest to distinguish between "idiopathic detrusor instability" and the "uninhibited overactive bladder". Based on neurological investigation and cystometric recordings, including the ice water test, characteristics of the 2 entities are described.
膀胱过度活动症的病因和发病机制非常多样，其分类相当粗略。通过对临床发现和尿动力学评估的仔细解读，有可能对诊断进行细化。从治疗和预后的角度来看，区分“特发性逼尿肌不稳定”和“无抑制性膀胱过度活动”是有意义的。基于神经学检查和膀胱测压记录，包括冰水试验，描述了这两种情况的特征。
