Fukuda T
Department of Urology, School of Medicine, Akita University.
Hinyokika Kiyo. 1987 Oct;33(10):1608-17.
The effect of the transection of the pelvic and hypogastric nerves on the whole micturition cycle including the collecting and emptying phases was evaluated on the decerebrate dogs which exhibit highly consistent urodynamic parameters during a series of micturition cycles. Urodynamic parameters of each phase before and after each nerve transection were measured by pressure flow electromyographic studies and compared using the paired t test. Urodynamic parameters in the collecting phase consisted of threshold volume, threshold pressure, opening pressure and bladder compliance. Urodynamic parameters in the emptying phase consisted of voided volume, residual volume, residual ratio, contraction pressure, maximum flow rate and voiding time. Unilateral pelvic nerve transection produced a significant increase in threshold volume and bladder compliance and a significant decrease in threshold pressure during the collecting phase. There was a significant increase in residual volume and residual ratio and a significant decrease in contraction pressure and maximum flow rate during the emptying phase. After bilateral pelvic nerves transection, bladder did not contract and overflow incontinence occurred. Therefore, the pelvic nerves are considered to play an important role in both the collecting and emptying phases. Unilateral hypogastric nerve transection produced a significant decrease in threshold volume, threshold pressure and opening pressure during the collecting phase. There was a significant decrease in contraction pressure during the emptying phase. Bilateral pelvic nerve transection produced a significant decrease in threshold volume, threshold pressure and opening pressure, and a significant increase in bladder compliance during the collecting phase. There was a significant decrease in voided volume and contraction pressure during the emptying phase. Therefore, the hypogastric nerves are considered to play a certain role in the collecting phase.
在去大脑的狗身上评估切断盆腔神经和腹下神经对整个排尿周期(包括储尿期和排尿期)的影响,这些狗在一系列排尿周期中表现出高度一致的尿动力学参数。通过压力流肌电图研究测量每条神经切断前后各阶段的尿动力学参数,并使用配对t检验进行比较。储尿期的尿动力学参数包括阈值容量、阈值压力、开放压力和膀胱顺应性。排尿期的尿动力学参数包括排尿量、残余尿量、残余尿率、收缩压、最大流速和排尿时间。单侧盆腔神经切断在储尿期使阈值容量和膀胱顺应性显著增加,阈值压力显著降低。在排尿期,残余尿量和残余尿率显著增加,收缩压和最大流速显著降低。双侧盆腔神经切断后,膀胱不收缩,出现充溢性尿失禁。因此,盆腔神经被认为在储尿期和排尿期都起重要作用。单侧腹下神经切断在储尿期使阈值容量、阈值压力和开放压力显著降低。在排尿期,收缩压显著降低。双侧腹下神经切断在储尿期使阈值容量、阈值压力和开放压力显著降低,膀胱顺应性显著增加。在排尿期,排尿量和收缩压显著降低。因此,腹下神经被认为在储尿期起一定作用。