小児の排尿機構に関する研究 : 第4報: 小児の神経因性膀胱に関する尿水力学的,電気生理学的研究

概要

論文の詳細を見る
The present study was performed on a total of 121 children with neurogenic bladdder, consisting of 51 boys and 70 girls, or diagnostically of 45 with uninhibited neurogenic bladder, 6 with automatic neurogenic bladder and 60 with autonomous neurogenic bladder (incluidng 25 with tethered cord syndrome (Table 1). On these 121 children was performed the voiding urodynamic examination (hereafter referred to as VUD) which simultaneously recorded the voiding factors on a 6-channel polygraph: intra abdominal pressure, urethral pressure, vesical pressure, tone of the anal sphincter, EMG of the anal sphincter and urinary flow rate. Furthermore, the sacral nerve reflex test using the tone of the anal sphincter and EMG of the anal sphincter was performed as necessary. The Lewis, cystometrograph or the Sato's cystometrograph was used for taking the cystometrogram during filling. The determined values were statistically processed as voiding parameters by the student t-test, with the published values for normal children as standards. The results are presented below. 1. Uninhibited neurogenic bladder A. From the results of statistic processing of the voiding parameters (Table 2-A), (1) because the resting vesical pressure at the maximal desire to void and the terminal voiding pressure were high and also because the rate of occurrence of vesical after-contraction was high, it was presumed that the bladder was in an unstable state; and (2) urethral resistance during voiding was found located chiefly at the site where the external urethral sphincter is present.
社団法人日本泌尿器科学会の論文

小児の排尿機構に関する研究 : 第4報: 小児の神経因性膀胱に関する尿水力学的,電気生理学的研究

スポンサーリンク

概要

著者

関連論文

スポンサーリンク