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[女性压力性尿失禁:尿道横纹括约肌肌电图的作用]

[Urinary stress incontinence in women: contribution of electromyography of the striated urethral sphincter].

作者信息

Lasserre E, Plante P, Reme J M, Arne Bes M C, Arbus L

出版信息

Rev Electroencephalogr Neurophysiol Clin. 1986 Jul;16(2):173-8. doi: 10.1016/s0370-4475(86)80009-0.

DOI:10.1016/s0370-4475(86)80009-0
PMID:3764039
Abstract

Fourteen women within their menopausal period and suffering from stress urinary incontinence were studied. Electromyographic studies show that sphincter weakness is almost constant (9/14), usually associated with a bladder instability and/or a lack in abdominal urethral transmission, both conditions being known as possible causes of urinary stress incontinence. However, neurological causes at the origin of urinary stress incontinence, such as neurogenous sphincter, may be found (3/14). Electromyography, coupled with urodynamic evaluation, therefore presents itself as the most accurate method for a good assessment of correct pathophysiology in urinary stress incontinence and thereby for good therapeutic prescription.

摘要

对14名处于绝经期且患有压力性尿失禁的女性进行了研究。肌电图研究表明,括约肌无力几乎是持续性的(14例中有9例),通常与膀胱不稳定和/或腹段尿道传导功能缺失有关,这两种情况均被认为是导致压力性尿失禁的可能原因。然而,也可能发现导致压力性尿失禁的神经学原因,如神经源性括约肌(14例中有3例)。因此,肌电图检查结合尿动力学评估,是准确评估压力性尿失禁正确病理生理机制从而进行合理治疗处方的最精确方法。

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