Williams M P, Katz Z, Escala J M, Rickwood A M
Department of Paediatric Urology, Royal Liverpool Children's Hospital.
Br J Urol. 1988 Jul;62(1):51-3. doi: 10.1111/j.1464-410x.1988.tb04265.x.
Urodynamic findings and peripheral neurology were correlated in 62 patients with myelomeningocele. The primary motor and sensory levels bore no relation to bladder dysfunction. The ano-cutaneous reflex was a useful predictor, in that where the reflex was positive there was likely to be detrusor hyper-reflexia, a competent bladder neck and absence of sphincter weakness leakage. Where the reflex was absent, detrusor hyper-reflexia was absent or mild, the bladder neck usually incompetent and sphincter weakness leakage common. (Detrusor compliance could not be predicted from peripheral neurological findings). We consider the ano-cutaneous reflex to be a useful indication of bladder dysfunction and urodynamic studies are often unnecessary when it is positive.
对62例脊髓脊膜膨出患者的尿动力学检查结果与周围神经学情况进行了相关性分析。主要运动和感觉平面与膀胱功能障碍无关。肛门皮肤反射是一个有用的预测指标，即该反射阳性时，可能存在逼尿肌反射亢进、膀胱颈功能正常且无括约肌无力性漏尿。该反射缺失时，逼尿肌反射亢进不存在或较轻，膀胱颈通常功能不全且括约肌无力性漏尿常见。（无法根据周围神经学检查结果预测逼尿肌顺应性）。我们认为肛门皮肤反射是膀胱功能障碍的一个有用指标，当其阳性时，尿动力学检查通常不必要。
