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[排尿机制的新发现]

[New findings on the mechanism of micturation].

作者信息

Magasi P

出版信息

Acta Chir Acad Sci Hung. 1977;18(3):231-4.

PMID:605719
Abstract

The nervous and muscular events in the start and process of micturation are analyzed. The experiments have shown that in the start of voluntary micturation the close anatomical link between the perineal cross-striated musculature and the neck of the bladder plays an important role. The fact that the straining of the vesicular musculature leads to the contraction of the detrusor is attributed a major importance in the maintenance of the process of urination. The thrusting force of the vesicular musculature transports the urine into the neck of the bladder where the pressure rises and the muscles of the bladder wall become stressed. The arising stimulation enhances the contraction of the detrusor and this process prevails up to the end of micturation. The experiments support the clinical findings, since they explain the different behaviour of central and partial cystoparalysis, thus the almost normal functioning of the reflex bladder and the atony of the "non-reflex" bladder.

摘要

对排尿起始及过程中的神经和肌肉活动进行了分析。实验表明,在自主排尿起始时,会阴横纹肌与膀胱颈部之间紧密的解剖学联系起着重要作用。膀胱肌肉组织的收缩导致逼尿肌收缩这一事实,在维持排尿过程中被认为具有重要意义。膀胱肌肉组织的推力将尿液输送至膀胱颈部,此处压力升高,膀胱壁肌肉承受压力。由此产生的刺激会增强逼尿肌的收缩,这一过程持续至排尿结束。这些实验支持了临床发现,因为它们解释了中枢性和部分膀胱麻痹的不同表现,即反射性膀胱几乎正常的功能以及“非反射性”膀胱的无张力状态。

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