腰痛出血症综合征1967-2020年:一个审查
Nicholas M P Annear1,2, Jill Vanmassenhove3, Norbert Lameire3
1St George's, University of London, London, United Kingdom.
Clinical kidney journal
|March 13, 2024
概括
这篇评论质疑腰部疼痛出血症综合征 (LPHS) 的有效性,表明许多病例可能源于心理因素,而不是特定的医疗状况. 它建议谨慎使用侵入性治疗,因为潜在的风险和有效性有限.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 腎臟病學 (nephrology) 是一種醫學專業.
- 精神病学是一个精神病学.
背景情况:
- 腰部疼痛血综合征 (LPHS) 是一种鲜为人知的疾病,其特征是严重的侧侧疼痛和微观或粗血.
- 对于LPHS的病因和诊断标准仍然存在争议,导致不同的治疗方法.
研究的目的:
- 批判性地评估LPHS作为一个独特的临床实体的诊断有效性.
- 探索归因于LPHS的症状的潜在心理基础.
- 重新评估LPHS目前治疗方式的适当性.
主要方法:
- 现有文献和临床病例数据的回顾性审查与LPHS有关.
- 对诊断为LPHS的患者的症状呈现,诊断工作和治疗结果的分析.
- 对腰部疼痛和出血症的潜在有机与心理病因的比较评估.
主要成果:
- 证据表明LPHS症状和体形疾病之间存在显著的重叠,这表明腰部疼痛可能有心理基础.
- 尽管采取了各种干预措施,但症状的复发挑战了纯有机病理的概念.
- 该审查确定了与LPHS的侵入性治疗相关的相当严重的发病率.
结论:
- 作为一个独立的疾病,LPHS的诊断有效性是可疑的.
- 很大一部分LPHS病例可以通过精神病或心理因素更好地解释.
- 应优先考虑最少侵入性或非侵入性治疗策略,考虑到侵略性干预的潜在心理因素和风险.
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