Sidi A A, Dykstra D D, Peng W
Department of Urologic Surgery, University of Minnesota Hospital and Clinic, Minneapolis.
J Urol. 1988 Aug;140(2):335-7. doi: 10.1016/s0022-5347(17)41596-5.
A total of 57 patients with neuropathic or nonneuropathic detrusor areflexia was studied with the bethanechol supersensitivity test, electromyography of the urethral rhabdosphincter and bulbocavernosus reflex latency. The sensitivity of these tests in detecting neuropathic areflexia was 90, 87.5 and 78.1 per cent, respectively, and the specificity was 95.6, 76 and 80 per cent, respectively. When all 3 tests were performed together the combined accuracy approached 100 per cent. These combined tests are useful in the diagnosis of patients with equivocal bladder neuropathic conditions and in those with subtle neurological lesions.
对57例神经性或非神经性逼尿肌无反射患者进行了氨甲酰甲胆碱超敏试验、尿道横纹括约肌肌电图和球海绵体反射潜伏期研究。这些检查检测神经性无反射的敏感性分别为90%、87.5%和78.1%，特异性分别为95.6%、76%和80%。当三项检查同时进行时，联合准确率接近100%。这些联合检查有助于诊断膀胱神经病变不明确的患者以及有轻微神经损伤的患者。
