解剖学,生理学和评估:肠道,膀和性疾病
1Yale School of Medicine, Yale-New Haven Children's Bladder and Continence Program, Yale New Haven Children's Hospital, New Haven, CT, United States.
Handbook of clinical neurology
|August 24, 2023
概括
功能性脑成像揭示了对肠道和膀控制的新见解. 这种神经中心的方法强调了前额叶的参与,改善了对排泄功能障碍和相关神经心理问题的理解.
科学领域:
- 神经科学是一个神经科学.
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 胃肠病学 胃肠病学
背景情况:
- 对于肠道和膀控制的传统理解主要集中在pons.
- 功能神经成像技术的进步彻底改变了对大脑功能的研究.
- 现有的文献主要研究制的下脑干机制.
研究的目的:
- 从神经中心的角度探索肠道和膀的控制.
- 整合前额叶在尿液和便节中的作用.
- 在理解清空功能障碍方面超越以子为中心的观点.
主要方法:
- 功能神经成像数据 (PET,SPECT,fMRI,近红外光谱) 的审查和综合.
- 对参与尿液和便储存和排泄的神经通路的神经中心分析.
- 将额叶功能整合到肠道和膀控制模型中.
主要成果:
- 功能神经成像技术为大脑控制消除提供了新的见解.
- 额叶在储存和排泄尿液和便方面发挥着重要作用.
- 神经中心的观点解释了在患有排空功能障碍的患者中重叠的神经心理症状.
结论:
- 神经中心的观点,包括前叶整合,增强了对肠道和膀控制的理解.
- 这种方法为排空功能障碍和神经精神疾病之间的联系提供了更全面的解释.
- 未来的研究应该继续探索更高的大脑中心参与禁欲.
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