Parsons C Lowell
Division of Urology, Department of Surgery, University of California San Diego Medical Center, San Diego, USA.
J Reprod Med. 2004 Mar;49(3 Suppl):235-42.
Recent data show that in the significant majority of gynecologic patients, chronic pelvic pain (CPP) has its origin in the bladder in the chronic disease process known as interstitial cystitis (IC). IC can produce pain that is perceived in any location or locations in the pelvis in any combination, with or without urinary frequency/urgency. Until recently, the diagnosis of IC was complicated by the variable clinical presentation of the disease and a lack of diagnostic tools. With recent advances in the understanding of the disease, IC's distinctive symptom complex has become well known, and new diagnostic tools are available. Gynecologists can now test CPP patients for the presence of IC using a simple questionnaire, the Pelvic Pain and Urgency/Frequency (PUF) Patient Symptom Scale, and a minimally invasive, office-based procedure, the potassium sensitivity test (PST). Along with a careful history attuned to the characteristic clinical presentation of IC, the PUF Scale and PST can help the gynecologist establish the diagnosis and offer appropriate treatment promptly. IC can be treated very successfully in the majority of cases.
最近的数据显示，在绝大多数妇科患者中，慢性盆腔疼痛（CPP）在一种名为间质性膀胱炎（IC）的慢性疾病过程中源于膀胱。IC可产生疼痛，疼痛可出现在盆腔内的任何一个或多个部位，可伴有或不伴有尿频/尿急，以任何组合形式出现。直到最近，IC的诊断因该疾病临床表现的多变性以及缺乏诊断工具而变得复杂。随着对该疾病认识的最新进展，IC独特的症状组合已广为人知，并且有了新的诊断工具。妇科医生现在可以使用一份简单的问卷，即盆腔疼痛与尿急/尿频（PUF）患者症状量表，以及一种基于门诊的微创检查，即钾敏感性试验（PST），来检测CPP患者是否患有IC。连同关注IC特征性临床表现的详细病史，PUF量表和PST可帮助妇科医生做出诊断并及时提供适当的治疗。在大多数情况下，IC可以得到非常成功的治疗。
