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女性间质性膀胱炎的治疗。

Treatment of interstitial cystitis in women.

机构信息

Department of Obstetrics and Gynecology, Clinic of Fu Jen Catholic University, Taipei, Taiwan.

出版信息

Taiwan J Obstet Gynecol. 2012 Dec;51(4):526-32. doi: 10.1016/j.tjog.2012.10.002.

Abstract

Interstitial cystitis (IC) has been described as a chronic debilitating sterile inflammatory multifactorial bladder syndrome of unknown etiology. IC is characterized by bladder pain (or suprapubic pain) associated with urgency, urinary frequency, and nocturia. Because the pathogenesis of IC remains unclear, it is still an enigma and represents a diagnostic and therapeutic challenge. The diagnosis of IC remains unclear and is based on exclusion of other diseases. Consequently, IC has usually been underdiagnosed, and the consensus on best available treatment for the disease is lacking. The current goal for the treatment of IC is usually symptomatic relief, and treatment protocols are based on empiricism. Multiple forms of therapy are available, and most patients can be managed conservatively. Nevertheless, the efficacy of most treatments is short term. This review article gives an overview of the available treatments for IC.

摘要

间质性膀胱炎(IC)被描述为一种病因不明的慢性衰弱性无菌性炎症性多因素膀胱综合征。IC 的特征是膀胱疼痛(或耻骨上疼痛)伴尿急、尿频和夜尿。由于 IC 的发病机制仍不清楚,因此它仍然是一个谜,代表着诊断和治疗的挑战。IC 的诊断仍不明确,其基于排除其他疾病。因此,IC 通常被误诊,而且缺乏针对该疾病的最佳治疗共识。IC 的当前治疗目标通常是缓解症状,治疗方案基于经验主义。有多种形式的治疗方法,大多数患者可以进行保守治疗。然而,大多数治疗方法的疗效都是短期的。本文综述了 IC 的现有治疗方法。

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