在身体压力期间,女性尿道关闭机制
Pieter L Venema1, John Pfa Heesakkers1, Allert M de Vries1
1Department of Urology, Maastricht UMC, Maastricht, The Netherlands.
Neurourology and urodynamics
|May 22, 2024
概括
压力失禁的结果是反射尿道关节和盆地肌肉收缩,由增加的腹部压力引发. 尿道曲,由阴道带促进,显著增加了远端尿道的压力.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 生理学 生理学 生理学
背景情况:
- 压力失禁涉及体力活动期间不自发的尿液泄漏.
- 在压力下尿道关闭的机制是复杂的,涉及多个肌肉群.
研究的目的:
- 阐明压力期间尿道关闭背后的生理机制.
- 调查阴道带在压力诱导的尿道压力变化中的作用.
主要方法:
- 观察性研究分析肌肉收缩和压力变化的顺序.
- 专注于腹部和尿道压力增加的时间.
- 对带带的解剖学贡献的评估.
主要成果:
- 泌尿管的rhabdosphincter和盆底肌肉的反射收缩开始了泌尿管的关闭.
- 这种反射是由腹肌活动和增加的腹内压力触发的.
- 阴道带固定尿道,使尿道曲并使远部尿道的压力显著增加.
结论:
- 尿道曲,由阴道带促进,对于在压力时产生高尿道压力至关重要.
- 关节和盆地肌肉的协调反射作用,在腹内压力尖峰之前,可以防止压力失禁.
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