Kirby R S, Fowler C, Gilpin S A, Holly E, Milroy E J, Gosling J A, Bannister R, Turner-Warwick R
Br J Urol. 1983 Dec;55(6):652-9. doi: 10.1111/j.1464-410x.1983.tb03398.x.
Twenty-eight patients presenting with persistent loss of the voiding reflex have been evaluated. Those with cauda equina lesions or pelvic nerve injury were distinguished from a group with idiopathic detrusor failure by their abnormal urethral behaviour during filling, and by urethral sphincter electromyography (EMG). Bladder muscle biopsies revealed the presence of presumptive cholinergic fibres in all three groups, indistinguishable in quantity and distribution from normal controls. The implications of these findings for the diagnosis and management of these patients is discussed.
对28例存在持续性排尿反射丧失的患者进行了评估。马尾神经损伤或盆腔神经损伤患者与特发性逼尿肌功能衰竭患者的区别在于，前者在膀胱充盈期尿道行为异常，且尿道括约肌肌电图（EMG）异常。膀胱肌肉活检显示，所有三组均存在推定的胆碱能纤维，其数量和分布与正常对照组无明显差异。本文讨论了这些发现对这些患者诊断和管理的意义。
