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急迫性尿失禁的会阴肌电图模式

Perineal electromyographic patterns in urge incontinence.

作者信息

Vereecken R L, Grisar P

出版信息

Arch Gynecol. 1986;237(4):235-42. doi: 10.1007/BF02133786.

DOI:10.1007/BF02133786
PMID:3963893
Abstract

The EMG patterns of anal sphincter and periurethral striated musculature were analyzed in 55 women with urge incontinence during cystometry. Six had a sensory urge and 49 a motor urge incontinence. In 18 cases the unstable bladder contractions were accompanied by an intense EMG activation and in 31 cases by a decrease of perineal activity. During bladder filling a progressive decline of activity was found in 9 cases and an irregular EMG pattern and urethral pressure in 18 cases. Five patients had abnormal EMG action potentials while 16 out of 39 patients had an abnormal evoked sphincter reaction. Although the EMG of the perineal muscles during bladder filling is often abnormal in women with urge incontinence, it does not give any additional information on the causes of the urethral and bladder instability.

摘要

对55例急迫性尿失禁女性患者在膀胱测压期间的肛门括约肌和尿道周围横纹肌的肌电图模式进行了分析。其中6例为感觉性尿急,49例为运动性尿急失禁。18例患者不稳定膀胱收缩伴有强烈的肌电图激活,31例患者伴有会阴活动减少。膀胱充盈期间,9例患者活动逐渐下降,18例患者肌电图模式和尿道压力不规则。5例患者肌电图动作电位异常,39例患者中有16例诱发括约肌反应异常。尽管急迫性尿失禁女性在膀胱充盈期间会阴肌肉的肌电图通常异常,但它并未提供关于尿道和膀胱不稳定原因的任何额外信息。

相似文献

1
Perineal electromyographic patterns in urge incontinence.急迫性尿失禁的会阴肌电图模式
Arch Gynecol. 1986;237(4):235-42. doi: 10.1007/BF02133786.
2
Urethral and perineal instability.尿道与会阴不稳定。
Urol Int. 1985;40(6):325-30. doi: 10.1159/000281125.
3
Correlation among cystometry, urethral pressure profilometry and pelvic floor electromyography in the evaluation of female patients with voiding dysfunction symptoms.膀胱测压、尿道压力测定和盆底肌电图在评估有排尿功能障碍症状的女性患者中的相关性。
J Urol. 1980 Nov;124(5):678-82. doi: 10.1016/s0022-5347(17)55606-2.
4
Electromyography of the perineal striated muscles during cystometry.膀胱测压期间会阴部横纹肌的肌电图检查
Urol Int. 1975;30(1):92-8. doi: 10.1159/000279966.
5
Urethral instability: related to stress and/or urge incontinence?尿道不稳定:与压力性尿失禁和/或急迫性尿失禁有关?
J Urol. 1985 Oct;134(4):698-701. doi: 10.1016/s0022-5347(17)47393-9.
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Combined cystometry and perineal electromyography in the diagnosis and treatment of neurogenic urinary incontinence.联合膀胱测压与会阴肌电图在神经源性尿失禁诊断与治疗中的应用
J Urol. 1976 Feb;115(2):161-3. doi: 10.1016/s0022-5347(17)59114-4.
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Abnormalities of the innervation of the urethral striated sphincter musculature in incontinence.尿失禁时尿道横纹括约肌肌肉组织神经支配异常。
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Correlation between urodynamics and perineal ultrasound in female patients with urinary incontinence.女性尿失禁患者尿动力学与会阴超声的相关性
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The electrical activity of the paraurethral and perineal muscles in normal and pathological conditions.正常及病理状态下尿道旁肌和会阴肌的电活动
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10
Extensive urodynamic investigation: interaction among diuresis, detrusor instability, urethral relaxation, incontinence and complaints in women with a history of urge incontinence.广泛的尿动力学研究:有急迫性尿失禁病史的女性中,利尿、逼尿肌不稳定、尿道松弛、尿失禁及相关症状之间的相互作用。
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本文引用的文献

1
Techniques and value of sphincter electromyography in urological problems.括约肌肌电图在泌尿系统疾病中的技术与价值
Urol Int. 1982;37(3):152-9. doi: 10.1159/000280812.
2
Idiopathic detrusor sphincter dyssynergia in neurologically normal patients with voiding abnormalities.神经功能正常但存在排尿异常的患者中的特发性逼尿肌括约肌协同失调。
Eur Urol. 1982;8(2):107-10. doi: 10.1159/000473490.
3
Factors that influence the incidence of detrusor instability in women.影响女性逼尿肌不稳定发生率的因素。
J Urol. 1983 Jul;130(1):114-5. doi: 10.1016/s0022-5347(17)50986-6.
4
Effect of naloxone-induced opioid blockade on idiopathic detrusor instability.纳洛酮诱导的阿片类药物阻断对特发性逼尿肌不稳定的影响。
Urology. 1983 Sep;22(3):329-31. doi: 10.1016/s0090-4295(83)80032-6.
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Electrophysiological exploration of the sacral conus.骶髓圆锥的电生理探索
J Neurol. 1982;227(3):135-44. doi: 10.1007/BF00313567.
6
Central neurotransmitter mechanisms involved in the control of urinary bladder function. An experimental study in the rat.参与膀胱功能控制的中枢神经递质机制。大鼠实验研究。
Scand J Urol Nephrol Suppl. 1980;58:1-45.
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Spastic striated external sphincter and urinary tract infection in girls.女童痉挛性横纹肌外括约肌与尿路感染
Br J Urol. 1971 Feb;43(1):69-82. doi: 10.1111/j.1464-410x.1971.tb04937.x.
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Continuous flow cystometry and urethral pressure profile measurement with monitored intravesical pressure: a diagnostic and prognostic investigation.持续流膀胱测压法及监测膀胱内压的尿道压力分布测量:一项诊断与预后研究。
Urol Res. 1973 Oct;1(3):97-100. doi: 10.1007/BF00257370.
9
Cystometric and sphincter abnormalities in multiple sclerosis.多发性硬化症中的膀胱测压及括约肌异常
Neurology. 1973 Oct;23(10):1131-9. doi: 10.1212/wnl.23.10.1131.
10
Evidence for a central noradrenaline receptor stimulation by clonidine.可乐定对中枢去甲肾上腺素受体刺激作用的证据。
Life Sci. 1970 May 1;9(9):513-23. doi: 10.1016/0024-3205(70)90207-9.