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上尿路动力学。III. 肾盂在压力变化时的活动

Dynamics of upper urinary tract. III. The activity of renal pelvis during pressure variations.

作者信息

Djurhuus J C

出版信息

Invest Urol. 1977 May;14(6):475-7.

PMID:858665
Abstract

In one phase of an analysis of renal pelvis activity in pigs "in vivo," controlled pressure changes were induced in the pelvis and electromyogram registrations were taken from both pelvis and ureter. Animals were anesthetized and the changes in intrapelvic pressure were effected by drainage or infusion via a catheter introduced into the pelvis through the parenchyma of the kidney. Frequency of pelvic activity increased temporarily under pressure increase and reduced temporarily under pressure fall. These phenomena were more emphatic when rapid pelvic pressure rise was induced by infusion. The observations lend weight to previous observations of changing pelvic activity during pressure and diuresis change, and also support the hypothesis that pelvic function is a stretch response, i.e., that the smooth muscle of the pelvis reacts just as does other smooth muscle. Observation of cessation in ureter activity during drainage while pelvic activity continues suggests that, under normal conditions, ureteric activity depends not on conduction of a pelvic impulse alone, but on a combination of such an impulse with a urine bolus.

摘要

在一项对猪“体内”肾盂活动的分析的一个阶段中,对肾盂施加可控的压力变化,并记录肾盂和输尿管的肌电图。动物被麻醉,肾盂内压力的变化通过经肾实质插入肾盂的导管进行引流或灌注来实现。肾盂活动频率在压力升高时暂时增加,在压力下降时暂时降低。当通过灌注引起肾盂压力快速升高时,这些现象更为明显。这些观察结果支持了之前关于压力和利尿变化期间肾盂活动改变的观察,也支持了肾盂功能是一种牵张反应的假说,即肾盂的平滑肌与其他平滑肌一样会产生反应。在肾盂活动持续时观察到引流期间输尿管活动停止,这表明在正常情况下,输尿管活动不仅取决于肾盂冲动的传导,还取决于这种冲动与尿团的结合。

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