间歇性囊炎/膀疼痛综合征 (IC/BPS) 诊断:当前的局限性和务实的临床诊断定义
Glenn T Werneburg1, Robert Moldwin2, C Lowell Parsons3
1Department of Urology, University of Michigan, Ann Arbor, Michigan, USA.
为间歇性囊炎/膀疼痛综合征 (IC/BPS) 制定了共识诊断标准. 新定义依赖于患者病史,体检和尿液研究,提高了临床适用性.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 疼痛管理 疼痛管理
- 临床诊断 临床诊断 临床诊断
背景情况:
- 间歇性囊炎/膀疼痛综合征 (IC/BPS) 诊断历来依赖于具有临床限制的研究标准.
- 现有的诊断方法可以排除大量呈现IC/BPS症状的患者.
研究的目的:
- 建立关于IC/BPS的更新诊断标准的共识.
- 为IC/BPS诊断制定一个简化和临床相关的定义.
主要方法:
- 根据IC/BPS诊断标准专业知识确定专家小组委员会.
- 用于手稿生成的概要的代开发和修改.
- 根据全球共识会议和AUA年度会议上国际关键论领袖的反,对手稿的修订.
主要成果:
- 患者病史和体检对于IC/BPS诊断至关重要.
- 尿液分析和尿液培养是必要的,以排除其他条件,如活跃的感染.
- 提出了一个务实的,简化的定义,与当前的临床指导和诊断工作保持一致,克服了旧NIDDK标准的局限性.
结论:
- 临床诊断IC/BPS是通过历史,体检和尿液研究来建立的.
- IC/BPS是由不愉快的感觉 (疼痛,不适,压力,灼热) 定义的,持续时间超过3个月,随着膀填充而恶化,随着排空而改善,不包括其他原因.
- 伴随性骨盆疾病的高患病率需要对像骨盆底功能障碍,vulvodynia和子宫内膜异位症这样的疾病进行单独的治疗考虑.
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