在退伍军人中,囊间膜炎的囊镜检测结果中的性别差异
Isabella Dolendo1, Andrew Chen2, Catherine Bresee2
1NYU Langone Health, New York, New York, USA.
Neurourology and urodynamics
|September 28, 2025
概括
这项研究发现,在患有间歇性囊炎/膀疼痛综合征 (IC/BPS) 的退伍军人中,Hunner病变或球形成没有显著的性别差异. 然而,男性在囊泡镜检查时表现出更高的轨道穿率.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 胃肠病学 胃肠病学
- 病理学 病理学 病理学
背景情况:
- 间歇性囊炎/膀疼痛综合征 (IC/BPS) 是一种慢性疾病,其特征是盆腔疼痛和尿路症状.
- 以前的研究表明,IC/BPS症状呈现的性别差异.
- 这些症状差异的转化为在囊镜上观察到的病理差异仍然不清楚.
研究的目的:
- 评估IC/BPS诊断的男性和女性退伍军人队列中的囊镜检查结果.
- 为了确定在囊镜检查期间观察到的IC/BPS病理表现是否存在基于性别的显著差异.
- 在IC/BPS患者中识别特定的囊镜标记,这些标记可能在性别之间存在差异.
主要方法:
- 退伍军人卫生事务医院系统 (2004年10月 - 2016年7月) 中医院访问的回顾性分析.
- 使用ICD代码和VINCI系统识别IC/BPS患者.
- 包括经过囊囊镜检查的已确认IC/BPS诊断的18岁以上患者;分析,,炎症,,瘤,调整以人口统计学为准.
主要成果:
- 总共分析了570名患者 (57.9%为女性);女性队列较年轻.
- 在亨纳病变 (8.2%的男性与3.7%的女性),结 (11.4%与15.2%) 或炎症 (19.6%与15.8%) 的患病率方面,没有观察到显著的性别差异.
- 男人表现出明显更高的形瘤的可能性 (15.4%对比8.1%),而尿路瘤在两性中都是罕见的.
结论:
- 在囊镜检查中,和亨纳病变的发病率在IC/BPS的男性和女性之间是相似的.
- 由于向治疗的相对成功,对Hunner病变的囊检测对于IC/BPS管理至关重要.
- 虽然一些囊镜检查结果,如管检查,可能会显示出性别差异,但像汉纳病变这样的关键标志物似乎在这个老兵人群中性别之间没有显著差异.
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