Andersen J T, Bradley W E
J Urol. 1977 Oct;118(4):623-5. doi: 10.1016/s0022-5347(17)58128-8.
Changes in the concept of neural organization for micturition and the use of high flow gas cystometers have altered the performance of clinical cystometry and test interpretation. Detrusor reflex activation procedures in carbon dioxide cystometry include rapid bladder distension, change in postural states, use of bethanechol, urethral and anal distension, and sleep. Sleep cystometry requires the use of electroencephalography. These procedures have permitted specific delineation of the syndrome of detrusor reflex instability. Test interpretation is based upon detection of the presence of detrusor reflex instability or end organ denervation.
排尿神经组织概念的变化以及高流量气体膀胱测压计的使用改变了临床膀胱测压的操作和结果解读。二氧化碳膀胱测压中的逼尿肌反射激活程序包括快速膀胱扩张、体位改变、使用氨甲酰甲胆碱、尿道和肛门扩张以及睡眠。睡眠膀胱测压需要使用脑电图。这些程序允许对逼尿肌反射不稳定综合征进行特异性描述。结果解读基于对逼尿肌反射不稳定或终末器官去神经支配的检测。
