盆腔疼痛诊断中的困境：间质性膀胱炎女性患者常见多次盆腔手术。
Dilemmas in diagnosing pelvic pain: multiple pelvic surgeries common in women with interstitial cystitis.
作者信息
Ingber Michael S, Peters Kenneth M, Killinger Kim A, Carrico Donna J, Ibrahim Ibrahim A, Diokno Ananias C
机构信息
Department of Urology, Ministrelli Program for Urologic Research and Education, William Beaumont Hospital, Royal Oak, MI, USA.
出版信息
Int Urogynecol J Pelvic Floor Dysfunct. 2008 Mar;19(3):341-5. doi: 10.1007/s00192-007-0453-2. Epub 2007 Sep 18.
We determined the prevalence of pelvic surgeries in women with interstitial cystitis (IC) compared to community-based controls through responses to a survey from 215 women with IC and 823 controls. Women with IC had a statistically higher prevalence of hysterectomies (cases=42.3%, controls=21.4%), bladder suspensions (cases=21.9%, controls=5.7), pelvic or genital surgeries other than cystoscopy (cases=26.5%, controls=16.2%), and laparoscopic pelvic surgeries (cases=22.8%, controls=8.3%). Women with IC more commonly had been diagnosed with endometriosis (cases=25.6%, controls=9.8%) and fibroids (cases=24.2%, controls= 16.3%). Of women with IC who had hysterectomies, 68% of the hysterectomies were done before their diagnosis of IC, and only 21% were done after their IC diagnosis. The diagnosis of IC occurred 1-5 years after hysterectomy in most cases. Women with IC have significantly more pelvic surgeries than controls. The majority of these surgeries were done before the diagnosis of IC and may be performed for pain related to undiagnosed IC.
通过对215名间质性膀胱炎（IC）女性患者和823名对照者的调查回复，我们确定了IC女性患者与社区对照者相比盆腔手术的患病率。IC女性患者子宫切除术的患病率在统计学上更高（病例组=42.3%，对照组=21.4%），膀胱悬吊术（病例组=21.9%，对照组=5.7%），除膀胱镜检查外的盆腔或生殖器手术（病例组=26.5%，对照组=16.2%），以及腹腔镜盆腔手术（病例组=22.8%，对照组=8.3%）。IC女性患者更常被诊断出患有子宫内膜异位症（病例组=25.6%，对照组=9.8%）和子宫肌瘤（病例组=24.2%，对照组=16.3%）。在接受子宫切除术的IC女性患者中，68%的子宫切除术是在其IC诊断之前进行的，只有21%是在IC诊断之后进行的。大多数情况下，IC诊断发生在子宫切除术后1至5年。IC女性患者的盆腔手术明显多于对照组。这些手术大多是在IC诊断之前进行的，可能是为了治疗与未确诊的IC相关的疼痛。
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