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女性排尿功能障碍:“综合征”范式是否有效?

Voiding dysfunction in the female patient: is the "syndrome" paradigm valid?

机构信息

Division of Urology, Section of Voiding Dysfunction, Neuro-Urology, Female Urology, Pelvic Reconstruction & Urodynamics, University of Medicine and Dentistry of New Jersey-Robert Wood Johnson Medical School, New Brunswick, NJ 08901, USA.

出版信息

Curr Urol Rep. 2011 Oct;12(5):377-80. doi: 10.1007/s11934-011-0207-z.

DOI:10.1007/s11934-011-0207-z
PMID:21728066
Abstract

Voiding dysfunction in the female patient significantly affects the patient's quality of life. The condition is poorly understood, has varied etiology and clinical presentation, and lacks standard definitions with no consensus on diagnostic criteria. It consists of a constellation of symptoms involving both phases of the micturition cycle. Appropriate diagnosis and treatment of female lower urinary tract symptoms (LUTS) is of paramount importance. However, the differentiation of female LUTS into various syndromes is currently controversial. This article comprehensively reviews the commonly encountered female non-neurogenic LUTS (overactive bladder, interstitial cystitis, and painful bladder syndrome); discusses the contemporary management of these syndromes; and emphasizes a syndromic approach to the condition.

摘要

女性排尿功能障碍显著影响患者的生活质量。该疾病发病机制和临床表现多样,病因尚不明确,缺乏标准定义,诊断标准也未达成共识。它由涉及排尿周期两个阶段的一系列症状组成。适当诊断和治疗女性下尿路症状(LUTS)至关重要。然而,目前女性 LUTS 分为各种综合征仍存在争议。本文全面回顾了常见的女性非神经源性 LUTS(膀胱过度活动症、间质性膀胱炎和膀胱疼痛综合征);讨论了这些综合征的当代管理方法;并强调了该疾病的综合征方法。

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Voiding dysfunction in the female patient: is the "syndrome" paradigm valid?女性排尿功能障碍:“综合征”范式是否有效?
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本文引用的文献

1
Urinary incontinence, overactive bladder, and other lower urinary tract symptoms: a longitudinal population-based survey in men aged 45-103 years.尿失禁、膀胱过度活动症和其他下尿路症状:45-103 岁男性的纵向基于人群的调查。
Eur Urol. 2010 Jul;58(1):149-56. doi: 10.1016/j.eururo.2010.03.014. Epub 2010 Mar 23.
2
Bladder Pain Syndrome Committee of the International Consultation on Incontinence.国际尿失禁咨询委员会膀胱疼痛综合征委员会
Neurourol Urodyn. 2010;29(1):191-8. doi: 10.1002/nau.20847.
3
Intravesical lignocaine in the diagnosis of bladder pain syndrome.
膀胱内利多卡因在膀胱疼痛综合征诊断中的应用
Int Urogynecol J. 2010 Mar;21(3):321-4. doi: 10.1007/s00192-009-1045-0.
4
The second-line management of idiopathic overactive bladder: what is the place of sacral neuromodulation and botulinum toxin-A in contemporary practice?特发性膀胱过度活动症的二线治疗:在当代临床实践中,骶神经调节和A型肉毒杆菌毒素的地位如何?
BJU Int. 2009 Nov;104(9):1188-90. doi: 10.1111/j.1464-410X.2009.08777.x. Epub 2009 Aug 13.
5
Refractory overactive bladder: Beyond oral anticholinergic therapy.难治性膀胱过度活动症:超越口服抗胆碱能药物治疗
Indian J Urol. 2007 Apr;23(2):166-73. doi: 10.4103/0970-1591.32069.
6
On syndromes, symptoms, and root cause.
Eur Urol. 2008 Aug;54(2):256. doi: 10.1016/j.eururo.2008.03.012. Epub 2008 Mar 18.
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Incidence and clinical characteristics of interstitial cystitis in the community.社区中间质性膀胱炎的发病率及临床特征
Int Urogynecol J Pelvic Floor Dysfunct. 2008 Aug;19(8):1093-6. doi: 10.1007/s00192-008-0573-3. Epub 2008 Feb 12.
8
Overlap of different urological symptom complexes in a racially and ethnically diverse, community-based population of men and women.在一个种族和民族多样化的、以社区为基础的男性和女性人群中,不同泌尿系统症状复合体的重叠情况。
BJU Int. 2008 Jan;101(1):45-51. doi: 10.1111/j.1464-410X.2007.07191.x. Epub 2007 Sep 13.
9
Overlap of voiding symptoms, storage symptoms and pain in men and women.男性和女性排尿症状、储尿症状及疼痛的重叠情况。
J Urol. 2007 Oct;178(4 Pt 1):1354-8; discussion 1358. doi: 10.1016/j.juro.2007.05.157. Epub 2007 Aug 16.
10
Management of overactive bladder syndrome.膀胱过度活动症的管理
Postgrad Med J. 2007 Jul;83(981):481-6. doi: 10.1136/pgmj.2007.057232.