Thyberg M, Glott T, Hjeltnes N, Stanghelle J K
Sunnaas sykehus, Nesoddtangen.
Tidsskr Nor Laegeforen. 1995 Sep 30;115(23):2904-8.
Patients with neurogenic bladder dysfunction may have an elevated detrusor pressure during the filling or emptying phase, which may result in upper urinary tract dysfunction. Cystometric examination is important in order to evaluate the risk of such complications and the effect of therapeutic intervention. If compliance is low, the cystometric filling rate has to be slow in order to obtain a physiologically representative pressure. In the case of detrusor hyperreflexia, intraindividual variation makes it necessary to perform repeated filling of the bladder in order to get representative values for the amplitude and duration of the detrusor contraction. The clinical significance of these methodological problems is discussed.
神经源性膀胱功能障碍患者在膀胱充盈或排空阶段可能出现逼尿肌压力升高，这可能导致上尿路功能障碍。为了评估此类并发症的风险和治疗干预的效果，膀胱测压检查很重要。如果顺应性较低，为了获得具有生理代表性的压力，膀胱测压的充盈速率必须缓慢。在逼尿肌反射亢进的情况下，个体差异使得有必要对膀胱进行反复充盈，以便获得逼尿肌收缩幅度和持续时间的代表性数值。本文讨论了这些方法学问题的临床意义。
