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er en vanskelig, tidsranende og indtil videre ustandardiseret frern-
gangsmaade, kun lidet egnet til hyppig anvendelse i kliniken.
Sideordnet med de cystometriske undersøgelser, som foretages paa
herværende afdeling, søger man imidlertid at tilvejebringe en sam
menligning mellem de oplysninger, som henholdsvis kontinuerlig og
diskontinuerlig kurveoptegning giver, idet man haaber, at en del af
de for kliniken betydningsfulde cystometriske fænomener, som nu
kun kan erkendes paa den kontinuerlige kurve, vil kunne genkendes
med sikkerhed paa den diskontinuerlige.
Summary.
Cystometry is a functional examination of the urinary bladder;
a curve is made of the degree of filling of the bladder, showing the
relation between the bladder volume and the intravesical pressure
as well as some other phenomena.
A short report is given of the methods used by previous investiga
tors and they are discussed and criticized. A method — worked out
at our department — for making a continuous curve of the degree
of filling of the bladder is described.
The curve obtained in this manner is described and its different
parts discussed, the curve being interpreted as three successive func
tion tests of the bladder: 1) Involontary accomodation.
2
) Power of
inhibition.
3
) Mode of micturition.
The importance recognized by other authors as regards the dia
gnosis and treatment of neurogeneous bladder disease as well as
regarding the differential diagnosis between neurogeneous bladder
disease and obstructive hindrance at the outlet is verified.
The importance of cystometry to the recognition and treatment
of localized diseases in the bladder and the bladder neck has not
been made clear, but an example may be mentioned:
25
patients
with hypertrophy of the prostate might be divided into 4 groups
with very different bladder function; the corresponding curves are
described; for the present the theoretical and practical conclusions
which may be drawn, are left open.
Litteratur.
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Cheetham, J. G.:
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Dennig, H .:
Die Innervation
der H arnblase. B erlin 1926. ■— 5.
Denny-Brown, D. da Robertson E. G .:
B rain
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db
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Franke-Hochward da Zuckerkandl.
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db
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