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根据膀胱内压测量法和临床表现,作者最近提出一种新的膀胱活动过度的功能再分法。发现有症状不同的三个主要类型:不受抑制的活动过度膀胱(UOB),以膀胱充盈感觉损害和随意排尿收缩抑制丧失为特征;相位性逼尿肌不稳定性(PDI),膀胱充盈时伴自发或激发的无效逼尿肌收缩;脊髓性逼尿肌反射亢进(SDH),脊髓运动神经原病变伴随意控制损伤和不协调的排尿反射。本文对一大组65岁以上患者进行研究,以查明这三种亚型膀胱活动过度的分布情况。患者和方法 1986至1988年对1794名成年患者进行调查。不包括尿路感染,膀胱下流出道梗阻、
Based on measurements of bladder pressure and clinical manifestations, the authors recently proposed a new functional subdivision of overactive bladder. Three distinct types of symptoms were identified: unobstructed hyperactive bladder (UOB), characterized by impaired bladder filling sensation and loss of voluntary voiding suppression; phase detrusor instability (PDI), bladder filling With or without spontaneous or detrusor contractions detrusor; spinal detrusor hyperreflexia (SDH), spinal motor neuron disease with random control of injury and uncoordinated urination reflex. In this paper, a large group of patients over the age of 65 were studied to determine the distribution of overactive bladder in all three subtypes. Patients and Methods From 1986 to 1988, 1794 adult patients were investigated. Does not include urinary tract infections, bladder outlet obstruction,