IC/PBS和OAB的鉴别诊断

方志伟; 许克新; 王晓峰

doi:10.13201/j.issn.1001-1420.2015.05.027

IC/PBS和OAB的鉴别诊断

- 北京大学人民医院泌尿外科(北京, 100044)

详细信息

通讯作者: 许克新,E-mail:cavinx@sina.com

中图分类号: R694

收稿日期: 2014-12-09

Differential diagnosis between IC/PBS and OAB

- Department of Urology, Peking University People's Hospital, Beijing, 100044, China

More Information

Corresponding author: XU Kexin, E-mail: cavinx@sina.com

Received Date: 09 December 2014

摘要

摘要: 间质性膀胱炎/膀胱疼痛综合征（IC/PBS）与膀胱过度活动症（OAB）目前均缺乏特异性的诊断指标，而是基于临床症状和排除其他疾病做出诊断。两种疾病均有尿频、尿急等类似表现，使得临床上的鉴别存在困难。临床研究发现所有表现为尿频、尿急的患者均需要作两者的鉴别诊断，且难治性OAB患者中IC的发病率显著升高。本文综合病史、体检、排尿日记、尿动力学检查等方面讨论了IC/PBS与OAB的鉴别诊断流程，以提高临床医生的诊疗水平。
- 间质性膀胱炎/膀胱疼痛综合征 /
- 膀胱过度活动症 /
- 鉴别诊断
Abstract: Both interstitial cystitis/painful bladder syndrome (IC/PBS) and overactive bladder (OAB) lack objective marker to make a diagnosis. They are diagnosed by clinical symptoms and ruling out other diseases. It is difficult to differentiate between them because of their similar symptoms, including urinary urgency/frequency. Therefore both IC/PBS and OAB should be taken into account for any patient who presents with urgency and frequency, especially for patients with OAB which is refractory to treatment. We integrate information from history, physical examination, voiding diary, urodynamic study and so on to make a proposed diagnostic algorithm for patient evaluation, so that the diagnosis and treatment of these diseases can be improved.
- interstitial cystitis/painful bladder syndrome /
- overactive bladder /
- differential diagnosis

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