Buzelin J M
J Urol (Paris). 1981;87(8):479-506.
On the basis of fundamental data drawn from urodynamic study of vesico-sphincter function, the authors begin by a review of the various mechanisms of vesico-sphincter coordination. They then study the neurological control of vesico-sphincter automatic activity. The review of the general organisation of the nervous system is certainly of great value to urologists who are not familiar with neuro-urological problems. This is followed by a more specific study of the neuro-anatomy of the nerve centres and pathways involved in vesico-sphincter automatic activity. Then a review of the reflex centres and their efferent pathways. This is followed finally by a study of integrated reflexes which offers the possibility of an approach to the alternation of phases of filling and micturition, then vesico-sphincter coordination during the phase of filling and the phase of micturition.
基于膀胱括约肌功能尿动力学研究得出的基础数据,作者首先回顾了膀胱括约肌协调的各种机制。然后他们研究了膀胱括约肌自主活动的神经控制。对于不熟悉神经泌尿学问题的泌尿科医生来说,对神经系统总体组织的回顾无疑具有很大价值。接下来是对参与膀胱括约肌自主活动的神经中枢和神经通路的神经解剖学进行更具体的研究。然后回顾反射中枢及其传出通路。最后是对整合反射的研究,这为探讨充盈期和排尿期的交替,以及充盈期和排尿期的膀胱括约肌协调提供了途径。