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患有炎症性肠道疾病的患者下泌尿道症状:一个横截面观察性研究
Lorenzo Romano1, Raffaele Pellegrino2, Davide Arcaniolo3
1Department of Neurosciences, Sciences of Reproduction, and Odontostomatology, University of Naples "Federico II", Naples 80131, Italy; Unit of Urology, Department of Woman, Child and General and Specialized Surgery, University of Campania "Luigi Vanvitelli", Naples 80138, Italy.
下尿路症状 (LUTS) 影响炎症性肠病 (IBD) 患者,患病率因疾病类型和活性而异. 建议进行早期泌尿学评估,以便及时诊断和治疗.
科学领域:
- 胃肠病学 胃肠病学
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
背景情况:
- 炎症性肠病 (IBD),包括克罗恩病 (CD) 和性结肠炎 (UC),可能会出现影响尿路的肠外表现.
- 在IBD患者中较低尿路症状 (LUTS) 的患病率尚未确立.
研究的目的:
- 为了确定在CD和UC患者中LUTS的患病率.
- 确定影响LUTS流行率差异的因素,CD和UC之间的差异.
- 检查IBD疾病活动和LUTS之间的关联.
主要方法:
- 一项涉及301名IBD患者的研究.
- 使用的标准化问卷:布里斯托尔女性下尿道症状 (BFLUTS),NIH-慢性前列腺炎症状指数 (NIH-CPSI) 和国际前列腺症状得分 (IPSS).
- 使用克罗恩氏病活动指数 (CDAI),部分梅奥得分 (PMS) 和总梅奥得分 (TMS) 评估IBD疾病活动.
主要成果:
- 诊断时的较高年龄与女性更糟糕的填充症状和生活质量相关.
- 在男性中,67.1%报告轻度,28.5%中度,4.4%严重的IPSS症状.
- 慢性前列腺炎类症状 (NIH-CPSI) 的患病率为26.8%.
结论:
- 在IBD患者中,LUTS是一种相关的并发症.
- 经泌尿学验证的问卷对及时诊断和治疗IBD中的LUTS至关重要.
- 进一步的研究可能会阐明IBD亚组中LUTS的特定管理策略.
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