神経因性膀胱に関する実験的研究 : 第16報 : 尿路炎症進展の病理学的検討

概要

論文の詳細を見る
The intractable urinary infection in neurogenic bladder has been remained to be one of the most important problems in the clinical field. Especially, the inevitable occurrence of cystitis and successive renal disorder give a key point for the prognosis in such a patient. Therefore, for the clarification of the fundamental aspect in regard to the expansion of the urinary infection, several ideal experiments for making neurogenic bladder were attempted with dogs by means of the selective section of the various nerves innervating the urinary bladder. One week and one month later, the dog was sacrificed and histological examination of the urinary tract was performed. And the pattern of extension of the inflammatory process in each specimen was followed up to find out the relation to the intravesical pressure as well as the vesicoureteral reflux. The selective nerve section was performed on the pelvic or the hypogastric nerves, and also on the ventral or the dorsal roots of the sacral nerve; especially on the proximal part from the spinal ganglion or ganglionectomy of the dorsal roots. According to the cystometrogram obtained after the operation, the bladder function was classified into three types, I)normotonic, II)hypertonic, III)hypotonic.
社団法人日本泌尿器科学会の論文