Cucchi A
Divisione di Urologia, Policlinico S. Matteo, Pavia, Italy.
Neurourol Urodyn. 1996;15(2):109-15; discussion 115-7. doi: 10.1002/(SICI)1520-6777(1996)15:2<109::AID-NAU1>3.0.CO;2-J.
Three male patient groups of 20 subjects each have been assessed urodynamically by pressure flow study, namely, patients with detrusor hyperreflexia (DH) due to intracerebral neuropathies were compared with subjects bearing a condition of idiopathic detrusor instability, as well as with a control group of males showing normal urodynamic findings. Detrusor contractility proved greater in the unstable patients, but did not differ significantly between those with DH and the controls. Such results may suggest that intracerebral neuropathies leading to DH have no influence on, whilst the factors responsible for detrusor instability are strongly related to, the degree of activation of bladder muscle mechanical capability.
对三组男性患者进行了尿动力学压力流研究评估,每组20名受试者。具体而言,将因脑内神经病变导致逼尿肌反射亢进(DH)的患者与特发性逼尿肌不稳定患者进行比较,并与尿动力学检查结果正常的男性对照组进行比较。结果显示,不稳定患者的逼尿肌收缩力更大,但DH患者与对照组之间无显著差异。这些结果可能表明,导致DH的脑内神经病变对膀胱肌肉机械能力的激活程度没有影响,而导致逼尿肌不稳定的因素与之密切相关。