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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。
Interstitial cystitis is an unidentified chronic, heterogeneous disease that affects a significant percentage of women. Patients are highly variable in their symptoms: they may experience pelvic pain and pain may be exacerbated by bladder filling, accompanied by a series of lower urinary tract symptoms including frequent urination and urgency. Taking into account the clinical manifestations of different patients are not exactly the same, so should be given for each specific treatment of patients. At present, the guidelines of the American Urological Association (AUA) guide the treatment of IC into 6 levels. It is recommended to start education on patients and to improve their lifestyles. Finally, they should be surgically treated by physical and medical treatments for those patients who have failed in the previous treatment. This article reviews the latest IC treatment guidelines and some of the evidence for these guidelines.