摘要
目的探讨间质性膀胱炎(IC)的诊断和治疗方法。方法回顾分析16例IC患者的临床资料,患者主要表现为尿频、尿急、耻骨上疼痛和慢性盆腔疼痛,误诊为慢性膀胱炎、盆腔炎、子宫内膜异位症、膀胱结核及尿道综合征,经手术后病理或膀胱镜检查确诊,其中4例行尿流改道,2例行乙状结肠膀胱成形术,10例行药物治疗。结果4例患者行尿流改道治疗后盆腔疼痛完全消失。2例行膀胱成形术后仍有轻微会阴部不适,膀胱容量大于350 m l,分别随访24,33个月无复发。10例非手术治疗患者O′Leary-Sant间质性膀胱炎症状评分和IC问题评分分别由治疗前的(15.4±4.1)和(9.4±2.7)分,降至治疗后的(4.1±2.1)和(5.1±3.9)分。结论对IC的诊断和鉴别诊断应给予充分重视;及早诊断及多种措施联合治疗,可显著改善IC患者的症状,提高生活质量。
Objective To investigate the diagnoses and treatment of interstitial cystitis （IC）. Methods The clinical data of 16 IC patients were analyzed respectively. The patients with urinary frequency, urgency, suprapubic pain and chronic pelvic pain. They were misdiagnosed as chronic cystitis, pelvic inflammation, endometriosis, cystophthisis and urethral syndrome, and were diagnosed finally by the means of pathology or cystoscopy. Among the 16 patients, 4 cases had the operation of ileal reservoir, Two cases had sigmoidcystoplasty, and 10 cases had drug treatment. The methods of IC diagnosis and treatment were discussed with the review of literature. Results The pelvic ache disappeared completely in 4 cases after the operation of ileal reservoir; Two cases after cystoplasty felt lightly discomfortable in perineum occasionally, and their bladder capacity was above 350 ml, no recurrence after operation hasving been found after followup for 24 months and 33 months;Ten cases treated with non-operative treatment improved obviously, with the O＇Leary-Sant IC symptom index and IC problem index decreased from 15.4±4. 1, 9. 4±2.7 to 4. 1±2. 1 and 5.1±3.9, respectively. Conclusions Sufficient attention should be paid to the diagnosis and differential diagnosis of IC; Early diagnosis and therapeutic alliance with manifold measures can relieve the patients＇ symptom and improve the quality of life.
出处
《中华外科杂志》
CAS
CSCD
北大核心
2006年第2期108-110,共3页
Chinese Journal of Surgery
关键词
间质性膀胱炎
诊断
治疗
Interstitial cystitis
Diagnosis
Treatment
