首页   按字顺浏览 期刊浏览 卷期浏览 A Comparative Study of the Human External Sphincter and Periurethral Levator Ani Muscles
A Comparative Study of the Human External Sphincter and Periurethral Levator Ani Muscles

 

作者: J. A. GOSLING,   J. S. DIXON,   HILARY O. D. CRITCHLEY,   SALLY‐ANN THOMPSON,  

 

期刊: British Journal of Urology  (WILEY Available online 1981)
卷期: Volume 53, issue 1  

页码: 35-41

 

ISSN:0007-1331

 

年代: 1981

 

DOI:10.1111/j.1464-410X.1981.tb03125.x

 

出版商: Blackwell Publishing Ltd

 

数据来源: WILEY

 

摘要:

SUMMARY—Specimens from the human male and female external urethral sphincter and the periurethral levator ani muscle have been examined using histochemical and electron microscopic techniques.In both sexes the external sphincter consists of a single population of type I (slow twitch) fibres with a mean diameter of 1 7.47±0.7 μm in the absence of muscle spindles. In contrast, the periurethral levator ani possesses muscle spindles and the constituent fibres form a heterogeneous population of type I and type II (fast twitch) fibres, with mean diameters of 45.5±0.8 μm and 59.5±3.4 μm respectively.These findings indicate that the external urethral sphincter is functionally adapted to maintain tone over prolonged periods and may be of considerable importance in producing active urethral closure during continence. The anatomical location and fibre characteristics of the levator ani muscle suggest that these fibres actively assist in urethral closure, particularly during events which cause elevation of intra‐abdominal pressure.In view of the differences in fibre characteristics between the external urethral sphincter and the levator ani, EMG activity recorded from a single site in the levator ani may not be representative of the functional status either of other levator ani muscle fibres or of the external urethral

 

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