Takeda M, Tsutsui T, Takahashi H, Hatano A, Komeyama T, Tamaki M, Koizumi T, Sato S
Department of Urology, Niigata University School of Medicine, Japan.
Neurourol Urodyn. 1994;13(3):243-53. doi: 10.1002/1520-6777(1994)13:3<243::aid-nau1930130306>3.0.co;2-2.
Diuresis renography and water filling cystometry were simultaneously performed with the bladder full and with the bladder empty. The findings of diuresis renography with a full bladder were compared with those of diuresis renography with an empty bladder, in 9 patients (4 male and 5 female, mean 24.4 years old) with neurogenic bladder dysfunction. According to O'Reilly's classification, the findings of diuresis renography with a full bladder were significantly worse than those of diuresis renography with an empty bladder, regardless of cystometry patterns and bladder compliance. These results suggest that in patients with neurogenic bladder dysfunction, a full bladder in itself can cause deterioration of the upper urinary tracts, regardless of bladder pressure and bladder compliance.
在膀胱充盈和排空状态下同时进行利尿肾图和膀胱注水测压。对9例（4例男性，5例女性，平均年龄24.4岁）神经源性膀胱功能障碍患者，将膀胱充盈时的利尿肾图结果与膀胱排空时的利尿肾图结果进行比较。根据奥赖利分类法，无论膀胱测压模式和膀胱顺应性如何，膀胱充盈时的利尿肾图结果均明显差于膀胱排空时的结果。这些结果表明，在神经源性膀胱功能障碍患者中，无论膀胱压力和膀胱顺应性如何，膀胱充盈本身都会导致上尿路恶化。
