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神经源性膀胱功能障碍中尿道和肛门括约肌活动的分离

Dissociation of urethral and anal sphincter activity in neurogenic bladder dysfunction.

作者信息

Nordling J, Meyhoff H H

出版信息

J Urol. 1979 Sep;122(3):352-6. doi: 10.1016/s0022-5347(17)56402-2.

DOI:10.1016/s0022-5347(17)56402-2
PMID:381690
Abstract

In 53 patients with suspected neurogenic bladder dysfunction carbon dioxide cystometry was done in combination with urethral and anal sphincter electromyography. Complete dissociation between the reflex activity of the 2 sphincters was found in 25 per cent of the patients and only 58 per cent of the patients had identical reflex activity. It is concluded that anal sphincter electromyography is highly unreliable in the diagnosis of urethral sphincter dysfunction.

摘要

对53例疑似神经源性膀胱功能障碍患者进行了二氧化碳膀胱测压,并结合尿道和肛门括约肌肌电图检查。25%的患者发现两个括约肌的反射活动完全分离,只有58%的患者具有相同的反射活动。结论是,肛门括约肌肌电图在诊断尿道括约肌功能障碍方面极不可靠。

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