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[以糖尿病为例对正常膀胱和代谢紊乱性膀胱进行尿动力学研究]

[Urodynamic studies on normal bladders and bladders in metabolic disorders using diabetes mellitus as an example].

作者信息

Dorschner W, Schultze G, Weise H, Dieterich F

出版信息

Z Urol Nephrol. 1979 Dec;72(12):897-901.

PMID:95239
Abstract

In various diseases of the kidney and the urinary bladder, in disturbances of potency and diseases of the outer genital the diabetes mellitus play an essential role. It was the aim the present investigations to establish with the help of manometric examinations of the urinary bladder in diabetics as well as in a comparative group which had no disturbed metabolism in what extent there exist objectively provable differences of the parameters chosen by us. From the results is to be stated that in diabetics, despite a slight increase of the capacity of the urinary bladder, a significant increase of the sphincter opening pressure and of the voluntary tonus of the sphincter is present. We explain these changes as an expression of a beginning disturbance of the innervation of the urinary bladder. In males of this age group from this result disturbances of miction which may lead to incorrect judgments, particularly in connection with a prostatic adenoma.

摘要

在肾脏和膀胱的各种疾病、性功能障碍以及外生殖器疾病中,糖尿病起着重要作用。本研究的目的是借助对糖尿病患者以及代谢无紊乱的对照组进行膀胱测压检查,确定我们所选择的参数在多大程度上存在客观可证实的差异。从结果可以看出,在糖尿病患者中,尽管膀胱容量略有增加,但括约肌开口压力和括约肌随意张力显著增加。我们将这些变化解释为膀胱神经支配开始紊乱的表现。在这个年龄组的男性中,由此结果可能导致排尿障碍,进而可能导致错误判断,尤其是与前列腺腺瘤相关时。

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