论文部分内容阅读
本文对33例原因不明的有下尿路症状的患者进行较全面的尿流动力学检查,发现都有不同程度的尿道括约肌功能异常,并将其分为括约肌松弛型和高张型两大类,后者又分为近端尿道高张与远端尿道高张两型。对之选择性地给以α-受体兴奋剂、α-受体阻滞剂或安定等药物治疗,辅以精神治疗和排尿指导,均获较满意疗效。作者认为其排尿生理极为复杂,与神经反射、膀胱平滑肌和尿道括约肌功能密切相关,皮层中枢的影响不能忽视,并提出“尿道括约肌功能异常症”这一名称。
In this paper, 33 cases of unexplained lower urinary tract symptoms in patients with a more comprehensive urodynamic studies found that there are varying degrees of urethral sphincter dysfunction, and divided into two types of sphincter relaxation and hypertensive type, The latter is divided into proximal urethral hyper tensor and distal urethral hyper tension type. Selectively given to α-receptor agonists, α-blockers or stability and other drugs, supplemented by mental therapy and urination guidance, were more satisfactory results. The author believes that urination physiology is extremely complicated and closely related to nerve reflex, bladder smooth muscle and urethral sphincter function. The influence of cortical central can not be ignored, and the name of “urethral sphincter dysfunction” is proposed.