Gillespie L, Said J, Sostrin S, Kleiwer K
Women's Clinic for Interstitial Cystitis, Beverly Hills, California.
Br J Urol. 1990 Sep;66(3):265-73. doi: 10.1111/j.1464-410x.1990.tb14924.x.
Interstitial cystitis comprises a complex of diseases typified by symptoms of pelvic pain. Functional complaints do not aid the clinician in determining loss of anatomical capacity. Histochemical staining with PAS-colloidal iron/Van Geison's counterstain offers improved diagnostic ability for the pathologist and correlates well with immunofluorescent findings. Four distinct diseases can be identified through immunofluorescent staining, indicating that each is the result of different responses of the urothelium and endothelium to injury. Loss of bladder capacity associated with these diseases can be expected with age, but immunofluorescent staining for IgM within the capillaries of the interstitium is a more sensitive predictor.
间质性膀胱炎是一组以盆腔疼痛症状为典型特征的复杂疾病。功能性主诉无助于临床医生判断解剖学功能丧失情况。过碘酸雪夫-胶体铁/范吉森复染的组织化学染色为病理学家提供了更高的诊断能力,且与免疫荧光结果相关性良好。通过免疫荧光染色可识别出四种不同的疾病,这表明每种疾病都是尿路上皮和内皮对损伤的不同反应的结果。这些疾病相关的膀胱容量丧失会随年龄增长而出现,但间质毛细血管内IgM的免疫荧光染色是更敏感的预测指标。