Depireux P, de Leval J
Service d'Urologie, Domaine Universitaire du Sart Tilman, Liege, Belgique.
Ann Urol (Paris). 1993;27(5):266-70.
The urodynamic techniques useful for the diagnostic assessment of vesicosphincteric disorders are uroflowmetry, measurement of abdominal, urethral and vesical pressure and electromyography. Uroflowmetry is a very widely used screening examination, as it is atraumatic. Other techniques are more invasive, but provide more pathophysiological information. The methodology is recalled for each of these examinations. The parameters to be analysed are described in detail. The value and limitations of these modalities are emphasised. Combined examinations allow a better understanding of vesicosphincteric equilibria and disequilibria and reveal the concepts of compliance, detrusor pressure, isometric detrusor contractions, hyper and hypoactivity, and pressure transmission.
对膀胱括约肌功能障碍进行诊断评估有用的尿动力学技术包括尿流率测定、腹压、尿道压和膀胱压测量以及肌电图检查。尿流率测定是一种应用非常广泛的筛查检查，因为它属于无创检查。其他技术则更具侵入性，但能提供更多病理生理学信息。文中回顾了这些检查各自的方法学。详细描述了需分析的参数。强调了这些检查方法的价值和局限性。联合检查有助于更好地理解膀胱括约肌的平衡与失衡，并揭示顺应性、逼尿肌压力、等长逼尿肌收缩、亢进和活动减退以及压力传导等概念。
