伴有膀胱过度活动症症状患者的间质性膀胱炎/膀胱疼痛综合征的诊断
Diagnosis of interstitial cystitis/ painful bladder syndrome in patients with overactive bladder symptoms.
作者信息
Macdiarmid Scott A, Sand Peter K
出版信息
Rev Urol. 2007 Winter;9(1):9-16.
Abstract
Overactive bladder (OAB) and interstitial cystitis (IC) have similar symptoms, including urinary urgency/frequency and nocturia, making them difficult to differentiate on the basis of clinical presentation alone. Both conditions may represent a clinical manifestation of a hypersensitive bladder and should be included in the differential diagnosis for patients who present with urgency/ frequency. It is especially important that IC be considered in patients with OAB that is refractory to treatment. The proposed diagnostic framework may be useful for differentiating IC from OAB and for facilitating appropriate treatment.
摘要
膀胱过度活动症（OAB）和间质性膀胱炎（IC）有相似的症状，包括尿急/尿频和夜尿症，这使得仅根据临床表现很难区分它们。这两种病症可能都代表膀胱过敏的一种临床表现，对于出现尿急/尿频症状的患者，都应纳入鉴别诊断。对于治疗难治性OAB的患者，尤其要考虑IC。所提出的诊断框架可能有助于区分IC和OAB，并促进适当的治疗。
相似文献
1
2
Symptomatic overlap in overactive bladder and interstitial cystitis/bladder pain syndrome: development of a new algorithm.症状重叠的膀胱过度活动症和间质性膀胱炎/膀胱疼痛综合征：新算法的发展。
BJU Int. 2019 Apr;123(4):682-693. doi: 10.1111/bju.14568. Epub 2018 Oct 24.
3
Overactive bladder with urodynamic study-induced bladder pain: An overactive bladder subtype with symptoms similar to those of interstitial cystitis/painful bladder syndrome.伴有尿动力学研究诱发的膀胱疼痛的膀胱过度活动症：一种与间质性膀胱炎/膀胱疼痛综合征症状相似的膀胱过度活动症亚型。
Medicine (Baltimore). 2023 Feb 10;102(6):e32790. doi: 10.1097/MD.0000000000032790.
4
Symptoms of interstitial cystitis, painful bladder syndrome and similar diseases in women: a systematic review.女性间质性膀胱炎、膀胱疼痛综合征及类似疾病的症状：一项系统综述
J Urol. 2007 Feb;177(2):450-6. doi: 10.1016/j.juro.2006.09.032.
5
Hypersensitive bladder: a solution to confused terminology and ignorance concerning interstitial cystitis.膀胱过敏：解决间质性膀胱炎术语混淆和认知不足问题的一种方法。
Int J Urol. 2014 Apr;21 Suppl 1:43-7. doi: 10.1111/iju.12314.
6
Correlation between psychological stress levels and the severity of overactive bladder symptoms.心理压力水平与膀胱过度活动症症状严重程度之间的相关性。
BMC Urol. 2015 Mar 8;15:14. doi: 10.1186/s12894-015-0009-6.
7
Adverse Events of Intravesical OnabotulinumtoxinA Injection between Patients with Overactive Bladder and Interstitial Cystitis--Different Mechanisms of Action of Botox on Bladder Dysfunction?膀胱内注射A型肉毒杆菌毒素治疗膀胱过度活动症和间质性膀胱炎患者的不良事件——肉毒杆菌毒素对膀胱功能障碍的不同作用机制？
Toxins (Basel). 2016 Mar 16;8(3):75. doi: 10.3390/toxins8030075.
8
Symptom profile variability of interstitial cystitis/painful bladder syndrome by age.间质性膀胱炎/膀胱疼痛综合征的症状谱随年龄变化的特征。
BJU Int. 2012 May;109(9):1356-9. doi: 10.1111/j.1464-410X.2011.10481.x. Epub 2011 Aug 24.
9
Potential factors that can be used to differentiate between interstitial cystitis/painful bladder syndrome and bladder oversensitivity in women.可用于区分女性间质性膀胱炎/疼痛性膀胱综合征和膀胱过度敏感的潜在因素。
Int J Clin Pract. 2012 Feb;66(2):146-51. doi: 10.1111/j.1742-1241.2011.02767.x. Epub 2011 Sep 26.
10
Understanding the elements of overactive bladder: questions raised by the EPIC study.了解膀胱过度活动症的要素：EPIC研究提出的问题
BJU Int. 2008 Jun;101(11):1381-7. doi: 10.1111/j.1464-410X.2008.07573.x. Epub 2008 Mar 10.
引用本文的文献
1
Exploring the anti-inflammatory effects of phytochemicals in attenuating interstitial cystitis-a literature review.探索植物化学物质在减轻间质性膀胱炎中的抗炎作用——文献综述
Front Pharmacol. 2025 Feb 5;16:1483548. doi: 10.3389/fphar.2025.1483548. eCollection 2025.
2
Imatinib Mesylate Reduces Voiding Frequency in Female Mice With Acute Cyclophosphamide-Induced Cystitis.甲磺酸伊马替尼可降低急性环磷酰胺诱导的膀胱炎雌性小鼠的排尿频率。
Front Syst Neurosci. 2022 May 13;16:867875. doi: 10.3389/fnsys.2022.867875. eCollection 2022.
3
Systematic review and meta-analysis identify significant relationships between clinical anxiety and lower urinary tract symptoms.系统评价和荟萃分析确定了临床焦虑与下尿路症状之间存在显著关系。
Brain Behav. 2021 Sep;11(9):e2268. doi: 10.1002/brb3.2268. Epub 2021 Aug 17.
4
Using Botulinum Toxin A for Treatment of Interstitial Cystitis/Bladder Pain Syndrome-Possible Pathomechanisms and Practical Issues.采用肉毒杆菌毒素 A 治疗间质性膀胱炎/膀胱疼痛综合征的可能发病机制和实际问题。
Toxins (Basel). 2019 Nov 4;11(11):641. doi: 10.3390/toxins11110641.
5
The Severity and Distribution of Nonurologic Pain and Urogenital Pain in Overactive Bladder are Intermediate Between Interstitial Cystitis and Controls.间质性膀胱炎和对照组患者中，膀胱过度活动症的非神经痛和泌尿生殖痛的严重程度和分布处于中间水平。
Urology. 2019 Aug;130:59-64. doi: 10.1016/j.urology.2019.03.030. Epub 2019 Apr 26.
6
Mechanisms Underlying Overactive Bladder and Interstitial Cystitis/Painful Bladder Syndrome.膀胱过度活动症和间质性膀胱炎/膀胱疼痛综合征的潜在机制。
Front Neurosci. 2018 Dec 12;12:931. doi: 10.3389/fnins.2018.00931. eCollection 2018.
7
Molecular pathogenesis of interstitial cystitis based on microRNA expression signature: miR-320 family-regulated molecular pathways and targets.基于 miRNA 表达特征的间质性膀胱炎分子发病机制：miR-320 家族调控的分子通路和靶标。
J Hum Genet. 2018 May;63(5):543-554. doi: 10.1038/s10038-018-0419-x. Epub 2018 Mar 12.
8
Endoscopic lysis of bladder scar associated with Hunner's lesions: A new technique.与亨纳病变相关的膀胱瘢痕内镜松解术：一种新技术。
Asian J Urol. 2015 Jan;2(1):59-62. doi: 10.1016/j.ajur.2015.04.008. Epub 2015 Apr 16.
9
Pathomechanism of Interstitial Cystitis/Bladder Pain Syndrome and Mapping the Heterogeneity of Disease.间质性膀胱炎/膀胱疼痛综合征的发病机制及疾病异质性图谱
Int Neurourol J. 2016 Nov;20(Suppl 2):S95-104. doi: 10.5213/inj.1632712.356. Epub 2016 Nov 22.
10
Anorectal and Pelvic Pain.肛肠与盆腔疼痛。
Mayo Clin Proc. 2016 Oct;91(10):1471-1486. doi: 10.1016/j.mayocp.2016.08.011.
本文引用的文献
1
Treatment approaches for interstitial cystitis: multimodality therapy.间质性膀胱炎的治疗方法：多模式疗法。
Rev Urol. 2002;4 Suppl 1(Suppl 1):S16-20.
2
Prevalence, diagnosis, characterization, and treatment of prostatitis, interstitial cystitis, and epididymitis in outpatient urological practice: the Canadian PIE Study.门诊泌尿外科实践中前列腺炎、间质性膀胱炎和附睾炎的患病率、诊断、特征及治疗：加拿大PIE研究
Urology. 2005 Nov;66(5):935-40. doi: 10.1016/j.urology.2005.05.007.
3
Prevalence of interstitial cystitis symptoms in women: a population based study in the primary care office.女性间质性膀胱炎症状的患病率：一项在初级保健诊所开展的基于人群的研究。
J Urol. 2005 Dec;174(6):2231-4. doi: 10.1097/01.ju.0000181203.82693.95.
4
Intravesical therapy for overactive bladder.膀胱过度活动症的膀胱内治疗
Curr Urol Rep. 2005 Nov;6(6):429-33. doi: 10.1007/s11934-005-0037-y.
5
Increased prevalence of interstitial cystitis in women with detrusor overactivity refractory to anticholinergic therapy.在抗胆碱能治疗难治性逼尿肌过度活动的女性中，间质性膀胱炎患病率增加。
Urology. 2005 Oct;66(4):702-6. doi: 10.1016/j.urology.2005.04.042.
6
What is the value of cystoscopy with hydrodistension for interstitial cystitis?膀胱镜水扩张术治疗间质性膀胱炎的价值是什么？
Urology. 2005 Sep;66(3):494-9. doi: 10.1016/j.urology.2005.04.011.
7
International Consultation on IC - Rome, September 2004/Forging an International Consensus: progress in painful bladder syndrome/interstitial cystitis. Report and abstracts.关于间质性膀胱炎的国际咨询会议——罗马，2004年9月/达成国际共识：疼痛性膀胱综合征/间质性膀胱炎的进展。报告及摘要
Int Urogynecol J Pelvic Floor Dysfunct. 2005 Jun;16 Suppl 1:S2-S34. doi: 10.1007/s00192-005-1301-x.
8
Do the National Institute of Diabetes and Digestive and Kidney Diseases cystoscopic criteria associate with other clinical and objective features of interstitial cystitis?美国国立糖尿病、消化及肾病研究所的膀胱镜检查标准是否与间质性膀胱炎的其他临床和客观特征相关？
J Urol. 2005 Jan;173(1):93-7. doi: 10.1097/01.ju.0000146466.71311.ab.
9
Interstitial cystitis.间质性膀胱炎
J Obstet Gynaecol. 2004 Apr;24(3):216-25. doi: 10.1080/01443610410001660652.
10
Different clinical presentation of interstitial cystitis syndrome.间质性膀胱炎综合征的不同临床表现。
Int Urogynecol J Pelvic Floor Dysfunct. 2004 May-Jun;15(3):198-202. doi: 10.1007/s00192-004-1129-9. Epub 2004 Feb 5.
Zotero 插件