Fletcher S
Department of Graduate Nursing Studies, Indiana State University, Terre Haute.
Nurse Pract. 1988 Oct;13(10):7, 10-2.
Although interstitial cystitis is a fairly uncommon cause of cystitis in patients, it is one that is frequently misdiagnosed as either bacterial, urological or gynecological in origin. Interstitial cystitis is a chronic inflammatory condition of unknown etiology, involving the bladder wall. The patient is usually a middle-aged female with presenting symptoms of 1) subacute development of pain on bladder filling, 2) urinary frequency unrelieved at night and 3) urgency. Patients complain of a varying degree of symptoms over several months or years without complete relief at any time, regardless of antibiotic treatment. The urine culture is negative and the only physical examination finding may be some urethral/vaginal tenderness. With careful attention to the symptom complex and accurate diagnostic testing, the diagnosis can be confirmed. This article summarizes the etiology, signs and symptoms, diagnostic criteria and treatment modalities for interstitial cystitis; patient-counseling suggestions are provided.
尽管间质性膀胱炎在患者膀胱炎病因中相对少见，但它常被误诊为细菌性、泌尿外科或妇科源性疾病。间质性膀胱炎是一种病因不明的慢性炎症性疾病，累及膀胱壁。患者通常为中年女性，表现出以下症状：1）膀胱充盈时疼痛亚急性发作，2）夜间尿频无缓解，3）尿急。患者在数月或数年中抱怨有不同程度的症状，无论使用抗生素治疗，症状都不会完全缓解。尿液培养为阴性，唯一的体格检查发现可能是尿道/阴道有一些压痛。通过仔细关注症状组合和准确的诊断测试，可以确诊。本文总结了间质性膀胱炎的病因、体征和症状、诊断标准及治疗方式；并提供了患者咨询建议。
