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输尿管弹性壁特性存在区域差异。

Regional differences exist in elastic wall properties in the ureter.

作者信息

Gregersen H, Knudsen L, Eika B, Frøkiaer J, Djurhuus J C

机构信息

Institute of Experimental Clinical Research, University of Aarhus, Denmark.

出版信息

Scand J Urol Nephrol. 1996 Oct;30(5):343-8. doi: 10.3109/00365599609181308.

Abstract

According to classical mechanical theory, the passive elastic properties of a distensible tube are important for the resistance to flow. The aim was to study luminal dimensions under pressure loading and the tension-strain distribution of the ureter in anaesthetized pigs by means of impedance planimetry. Stepwise inflation of an intraluminal balloon in which the cross-sectional area (CSA) and pressure were measured provided the distension stimulus in the ureteropelvine junction, in the midureter and in the intramural part of the ureter at the ureterovesical junction. The circumferential tension-strain distributions were computed from steady state values of these measurements. The CSA always reached equilibrium within the two-minute distension period. The steady state pressure-CSA curves were nonlinear and differed between the three measuring points (p < 0.001). The most pronounced difference was found between the ureteropelvine junction and the two other measuring points. At the lowest applied pressure of 1 kPa the steady state CSA was 15.4 +/- 1.1, 16.6 +/- 1.1, and 19.9 +/- 19.9 mm2 in the intramural part, middle part and ureteropelvine junction, respectively. At the maximum pressure the figures were 41.9 +/- 2.9, 47.0 +/- 2.7, and 73.1 +/- 8.2 mm2 for the three locations, respectively. The circumferential tension-strain distributions were nonlinear with an exponential-like behaviour. The tension-strain curve obtained from the ureteropelvine junction was translated to the right compared to the curves obtained from the two other measuring points (p < 0.05) indicating that the ureteropelvine junction was more compliant than the two other locations.

摘要

根据经典力学理论,可扩张性管道的被动弹性特性对于流动阻力很重要。目的是通过阻抗平面测量法研究麻醉猪输尿管在压力负荷下的管腔尺寸以及输尿管的张力 - 应变分布。在输尿管肾盂连接处、输尿管中段以及输尿管膀胱连接处输尿管壁内部位,通过逐步充盈可测量横截面积(CSA)和压力的腔内球囊来提供扩张刺激。根据这些测量的稳态值计算周向张力 - 应变分布。CSA在两分钟的扩张期内总能达到平衡。稳态压力 - CSA曲线是非线性的,且在三个测量点之间存在差异(p < 0.001)。输尿管肾盂连接处与其他两个测量点之间的差异最为明显。在最低施加压力1 kPa时,输尿管壁内部位、中段和输尿管肾盂连接处的稳态CSA分别为15.4 +/- 1.1、16.6 +/- 1.1和19.9 +/- 19.9平方毫米。在最大压力时,这三个部位的数值分别为41.9 +/- 2.9、47.0 +/- 2.7和73.1 +/- 8.2平方毫米。周向张力 - 应变分布是非线性的,呈指数样行为。与从其他两个测量点获得的曲线相比,从输尿管肾盂连接处获得的张力 - 应变曲线向右平移(p < 0.05),这表明输尿管肾盂连接处比其他两个部位更具顺应性。

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