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摘要: 间质性膀胱炎是一种不明病因的慢性异质性疾病,使很大一部分女性受累。患者的症状高度可变:可能会遭受骨盆疼痛而且疼痛会由于膀胱的充盈而加剧,并且会伴随有一系列的下尿路症状,包括尿频和尿急。考虑到不同患者临床表现并不完全相同,因此应该针对每个具体的患者给予相应的治疗。目前美国泌尿协会(AUA)指南将IC治疗分为6个层次,建议开始对患者进行教育以及改善生活方式,再通过物理、药物治疗,对于那些前期治疗均失败的患者最终进行手术治疗。这篇文章针对IC最新治疗指南以及这些指南的一些证据资料进行了综述。Abstract: Interstitial cystitis(IC)is a chronic heterogeneous disease of unknown etiology with a large amount of women involvement.Patients' symptoms are highly variable.They may suffer from pelvic pain which will be aggravated by bladder filling,and can be accompanied by a series of lower urinary tract symptoms,including frequency and urgency.Because of the varying clinical manifestations,a corresponding treatment should be tailored to each individual patient.Current American Urological Association(AUA)guidelines divided IC treatment recommendations into six levels.It is firstly recommended that patients be educated and improve their lifestyles.Then physical and drug therapy should be performed.For patients who have failed previous treatments shall eventually undergo surgery.This article has reviewed the latest treatment recommendations for IC and the evidence from which these recommendations arise.
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Key words:
- interstitial cystitis /
- bladder pain syndrome /
- therapy
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