McGuire E J, Savastano J A
J Urol. 1984 Aug;132(2):299-302. doi: 10.1016/s0022-5347(17)49603-0.
We studied urodynamically 55 patients with enuresis. The severity of urinary incontinence ranged from occasional nocturnal episodes to daytime and nighttime wetting associated with radiographic abnormalities of the bladder and upper urinary tract. Despite differences in symptoms, urodynamic findings of poor cerebral appreciation of the degree of bladder filling and sudden unanticipated detrusor contractility were common in 50 of the 55 patients. Volitional detrusor sphincter discoordination also was common and appeared to be related to uncontrolled bladder contractility rather than a primary problem.
我们对55例遗尿症患者进行了尿动力学研究。尿失禁的严重程度从偶尔的夜间发作到与膀胱及上尿路影像学异常相关的白天和夜间尿床不等。尽管症状存在差异，但在55例患者中的50例中，常见的尿动力学表现为对膀胱充盈程度的大脑感知不良以及突然出现的意外逼尿肌收缩。随意性逼尿肌括约肌不协调也很常见，似乎与不受控制的膀胱收缩有关，而非原发性问题。
