Abid I, Chami I, Boujnah H, Masmoudi Z, Zmerli S
Service d'Urologie, CHU Charles Nicolle, Tunis, Tunisie.
Ann Urol (Paris). 1988;22(2):117-23.
The authors report their experience of 57 cases of unstable bladder, 20 cases of which were neurogenic in origin. It is a frequent disease encountered in 19% of cases. The sex ratio is one male/one female. Infants are not spared (17 cases). Unstable bladder is a urodynamic concept; therefore, diagnosis of certitude is based on cystometry. The analytic study enables the authors to underline the clinical symptoms, to establish the urodynamic criteria of detrusor hyperactivity and to enumerate the side effects on bladder and renal function. The different etiologies, organic or functional, of detrusor hyperreflexia are exposed. Finally, the therapeutic possibilities are discussed.
作者报告了他们对57例不稳定膀胱病例的经验，其中20例起源于神经源性。这是一种常见疾病，在19%的病例中会遇到。男女比例为1:1。婴儿也未能幸免（17例）。不稳定膀胱是一个尿动力学概念；因此，确切的诊断基于膀胱测压。分析性研究使作者能够强调临床症状，确立逼尿肌过度活动的尿动力学标准，并列举对膀胱和肾功能的副作用。阐述了逼尿肌反射亢进的不同病因，包括器质性或功能性的。最后，讨论了治疗的可能性。
