前列腺肌

In addition to Denonvilliers' fascia, the prostate is also invested with the prostatic fascia and levator fascia.

除了Denonvilliers'筋膜外，前列腺外还有前列腺筋膜和提肛肌筋膜。

The prostate receives its blood supply and autonomic innervation between the layers of the levator fascia and prostatic fascia see Fig.

前列腺的血供和自主神经支配走行于提肛肌筋膜和前列腺筋膜之间。

With 3D-doctor software, kidney, adrenal, ureter, abdominal aorta, inferior vena cava, the nephritic artery and vein, the lymph nodes beside abdominal aorta, thoracic duct, the intrailiac artery and vein, pelvis, spermaduct, prostate, the prostatic plexus, bladder, male urethra and internal obturator muscle were segmented and three-dimensional reconstructed in P4 computer. 3. With photoshop7.0 software, the major organs of the male urological and reproductive system such as ureter, bladder, urethra, prostate were segmented and the grey- color mode images through segmentation were imported to AMIRA software.

应用连续图像分割软件3D-DOCTOR，分别对肾脏、肾上腺、输尿管、腹主动脉、下腔静脉、肾动静脉、腹腔淋巴结、胸导管、主动脉旁淋巴结、髂内外动静脉、骨盆、股骨、输精管、附睾、前列腺、前列腺周围静脉丛、膀胱、男性尿道、直肠、闭孔内肌、肛提肌、尾骨肌等结构进行结构数据的分割与提取，并在PentiumⅣ计算机上完成已分割结构的三维重建。

objective: to investigate diagnosis and treatment choice of detrusor hypoactivity with impaired contractile function on voiding function in benign prostatic hyperplasia.methods:the clinical date of 48 bph patients with dhic were analyzed,including clinical diagnosis,urodynamic parameters,treatment and follow-ups.results:37 patients with detrusor instability and over 40 cmh2o bladder pressure were treated successfully by turp.the time of indwelling suprapubic punctural cystostomy cathter was(1~8)weeks.11cases without di and under 40 cmh2o bladder pressure were treated by suprapubic punctural cystostomy,accepted the test of urodynamics after(1~3)months.7 cases with di were treated successfully by turp,4 cases without di were indwelled suprapubic punctural cystostomy cathter all life.conclusion:dhic worsens the voiding function of the patients with bph,and the test of urodynamic is helpful to diagnose and could provide more convinced evidences for treatment of patients.

分析膀胱过度充盈所致逼尿肌损伤，引起膀胱逼尿肌收缩无力良性前列腺增生48例患者的临床资料，包括诊断，尿动力学检查，治疗及随访结果。结果：37例经尿流动力学检查，诱发存在逼尿肌不稳定，伴膀胱内压达40 cmh2o以上，采取turp，术后留置膀胱造瘘管（1~8）周后全部拔除，排尿通畅。11膀胱内压始终未达到40 cmh2o，且在膀胱注水充盈过程中无逼尿肌不稳定出现，行膀胱造瘘后出院，（1~3）个月后经尿动力学检查复查膀胱逼尿肌收缩力，其中7例膀胱逼尿肌收缩功能有恢复，行经尿道前列腺汽化电切术治愈；剩余4例膀胱逼尿肌收缩功能几乎无任何改善。长期留置膀胱造瘘治疗。结论：良性前列腺增生导致膀胱过度充盈所致逼尿肌损伤，引起膀胱逼尿肌收缩无力患者，术前应用尿流动力学检查对膀胱逼尿肌损伤程度进行认真分析，可进行有针对性的治疗。

Result: Unstable bladder in 9 cases(45%), low compliance bladder in 5 cases (25%), obstruction in the bladder outlet in 11 cases (55%), dyssynergia in detrusor muscle and external urethral sphincter in 7 cases (35%), unstable bladder with obstruction in the bladder outlet in 6 cases, low compliance bladder with obstruction in the bladder outlet in 4 cases , unstable bladder with dyssynergia in detrusor muscle and external urethral sphincter in 2 cases .

结果：不稳定性膀胱9例（45%），低顺应性膀胱5例（25%），膀胱出口梗阻11例（55%），逼尿肌尿道括约肌协同失调7例（35%），其中不稳定膀胱合并膀胱出口梗阻6例，低顺应性膀胱合并膀胱出口梗阻4例，不稳定膀胱合并逼尿肌尿道外括约肌协同失调2例。结论：慢性前列腺炎患者的下尿路症状与不稳定性膀胱、低顺应性膀胱、膀胱出口梗阻及逼尿肌尿道外括约肌协同失调有关，了解这些相关因素对治疗有重要的指导意义。

Result: unstable bladder in 9 cases(45%), low compliance bladder in 5 cases (25%), obstruction in the bladder outlet in 11 cases (55%), dyssynergia in detrusor muscle and external urethral sphincter in 7 cases (35%), unstable bladder with obstruction in the bladder outlet in 6 cases, low compliance bladder with obstruction in the bladder outlet in 4 cases , unstable bladder with dyssynergia in detrusor muscle and external urethral sphincter in 2 cases .conclusion : the symptom of inferior urinary tract in patients with chronic prostatitis urodynamic was related to the unstable bladder, low compliance bladder , obstruction in the bladder outlet and dyssynergia in detrusor muscle and external urethral sphincter ,to know the correlation factors do significant benefit in guiding the clinical treatment.

结果：不稳定性膀胱9例（45%），低顺应性膀胱5例（25%），膀胱出口梗阻11例（55%），逼尿肌尿道括约肌协同失调7例（35%），其中不稳定膀胱合并膀胱出口梗阻6例，低顺应性膀胱合并膀胱出口梗阻4例，不稳定膀胱合并逼尿肌尿道外括约肌协同失调2例。结论：慢性前列腺炎患者的下尿路症状与不稳定性膀胱、低顺应性膀胱、膀胱出口梗阻及逼尿肌尿道外括约肌协同失调有关，了解这些相关因素对治疗有重要的指导意义。

Result: Unstable bladder in 9 cases(45%), low compliance bladder in 5 cases (25%), obstruction in the bladder outlet in 11 cases (55%), dyssynergia in detrusor muscle and external urethral sphincter in 7 cases (35%), unstable bladder with obstruction in the bladder outlet in 6 cases, low compliance bladder with obstruction in the bladder outlet in 4 cases , unstable bladder with dyssynergia in detrusor muscle and external urethral sphincter in 2 cases .

采用丹迪尿流测定仪对20例慢性前列腺炎患者进行尿流率、充盈性膀胱侧压、压力―流率测定、尿道侧压及肌电图检查。结果：不稳定性膀胱9例（45%），低顺应性膀胱5例（25%），膀胱出口梗阻11例（55%），逼尿肌尿道括约肌协同失调7例（35%），其中不稳定膀胱合并膀胱出口梗阻6例，低顺应性膀胱合并膀胱出口梗阻4例，不稳定膀胱合并逼尿肌尿道外括约肌协同失调2例。

The results suggested that the fibrous nodules of BPH evolved fibromuscular or muscular nodules with the differentiation of myofibroblast cells within the nodules, and these results were helpful to understand the pathogenesis and development of BPH nodules.

前列腺早期的纤维性结节随着肌纤维母细胞向平滑肌和纤维细胞的分化而演化为纤维肌性结节和肌性结节，明确这种演化过程可进而认识前列腺增生的病理学分类。

Results: The study showed that the earliest stromal nodules were fibrous, and with the dual differentiation of myofibroblasts toward both smooth muscle cells and fibrous cells, they developed into fibromyomatous nodules and muscular nodules. The results of reclassifying the 55 nodules immunohistochemically were that 23(42%) was fibrous, 28(51%) fibromuscular nodules and 4(7%) muscular.

结果：结合HE切片和免疫组化结果发现前列腺间质结节的早期为幼稚的纤维性结节，随着结节内肌纤维母细胞向平滑肌细胞和纤维细胞的双向分化，间质结节可继续演化为纤维肌性结节和肌性结节。55个结节按免疫组化分类，纤维性结节占42%，纤维肌性结节占51%，肌性结节占7%。

Sarcosine and other metabolites are easily detectable molecules, and the door is now wide open for the development of new diagnostic and prognostic tests in prostate cancer and other malignancies, which we urgently need.

给予外源性肌氨酸或敲除导致肌氨酸降解的肌氨酸脱氢酶后，可以诱导良性前列腺上皮细胞表型发生恶性转变。雄激素受体和ERG 融合基因产物共同调节肌氨酸信号通路元件。

Breath, muscle contraction of the buttocks; arch body, as far as possible to hold his head, right leg straight towards the ceiling (peg-leg knee in order to avoid muscle tension).

呼气，收缩臀部肌肉；拱起身体，尽量抬起头来，右腿伸直朝向天花板（膝微屈，以避免肌肉紧张）。

The cost of moving grain food products was unchanged from May, but year over year are up 8%.

粮食产品的运输费用与5月份相比没有变化，但却比去年同期高8％。