IC/PBS和OAB的鉴别诊断  

Differential diagnosis between IC/PBS and OAB

作　　者：方志伟[1] 许克新[1] 王晓峰[1] 

机构地区：[1]北京大学人民医院泌尿外科,北京100044

出　　处：《临床泌尿外科杂志》2015年第5期468-471,共4页Journal of Clinical Urology

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。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 fre- quency, 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 pa- tient evaluation, so that the diagnosis and treatment of these diseases can he imprnved

关 键 词：间质性膀胱炎/膀胱疼痛综合征 膀胱过度活动症 鉴别诊断 

分 类 号：R694[医药卫生—泌尿科学]