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雌性脊髓损伤犬腰荐神经根选择性电刺激期间的尿道反应

Urethral responses during selective electrostimulation of lumbosacral spinal nerve roots in the female spinal dog.

作者信息

Watanachote D

出版信息

Tohoku J Exp Med. 1982 Sep;138(1):87-102. doi: 10.1620/tjem.138.87.

DOI:10.1620/tjem.138.87
PMID:6890726
Abstract

Urethral responses on the urethral pressure profile (UPP) during selective electrostimulation of the ventral or dorsal roots in a group of lower lumbar (L5-7) or sacral (S1-3) nerves were observed in female spinal (C1-transected) dogs. The UPPs were recorded by using a balloon catheter, and square pulse wave of 5 V, 10 Hz, 1 msec was applied for electrostimulation of the spinal nerve root. The UPPs were analyzed by dividing the functional profile length (FL) into three equal parts and comparing the height of maximal clossure pressure at each UPP segment. After lumbosacral rhizotomies proximal to the electrodes, stimulation of the lower lumbar ventral roots produced a marked elevation at the proximal third (bladder neck) of UPP, while similar response was found at the middle third (midsphincteric urethra) and distal third (external urethral sphincter) of UPP during the sacral ventral roots stimulation. The stimulation of the dorsal roots of the lower lumbar and sacral nerves also produced a similar response as that of the ventral roots stimulation though less in amplitude. So it could be concluded that in female dog the sphincteric urethra might receive a functional innervation from the lower lumbar and sacral spinal segments in somewhat different manners.

摘要

在雌性脊髓(C1横断)犬中,观察了一组下腰(L5 - 7)或骶(S1 - 3)神经腹侧或背侧根选择性电刺激期间尿道压力轮廓(UPP)上的尿道反应。使用球囊导管记录UPP,并施加5V、10Hz、1毫秒的方波脉冲用于脊髓神经根的电刺激。通过将功能轮廓长度(FL)分成三个相等部分并比较每个UPP段最大闭合压力的高度来分析UPP。在电极近端进行腰骶神经根切断术后,刺激下腰腹侧根在UPP的近端三分之一(膀胱颈)处产生明显升高,而在刺激骶腹侧根期间,在UPP的中间三分之一(尿道中段括约肌)和远端三分之一(尿道外括约肌)处发现类似反应。刺激下腰和骶神经的背根也产生了与腹侧根刺激类似的反应,尽管幅度较小。因此可以得出结论,在雌性犬中,尿道括约肌可能以某种不同方式接受来自下腰和骶脊髓节段的功能性神经支配。

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Urethral responses during selective electrostimulation of lumbosacral spinal nerve roots in the female spinal dog.雌性脊髓损伤犬腰荐神经根选择性电刺激期间的尿道反应
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