Gynecologic presentation of interstitial cystitis as detected by intravesical potassium sensitivity
Gynecologic presentation of interstitial cystitis as detected by intravesical potassium sensitivity
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DOI：
10.1016/s0029-7844(01)01366-7
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发表时间：
2001-07-01
影响因子：
7.2
通讯作者：
Willems, JJ
中科院分区：
文献类型：
--
作者：
Parsons, CL;Bullen, M;Willems, JJ
目的：记录的初步临床诊断，确定泌尿系统症状的患病率，并测试膀胱内钾敏感性在妇科患者慢性pelvic pain.METHODS：妇科医生在三个美国医疗中心管理的钾敏感性测试连续pelvic palpal pain患者。在测试之前，每个病人都得到了初步的临床诊断的基础上，病人的主要症状投诉（S）和泌尿系统symptoms.RESULTS调查：134例患者，114（85%）有积极的钾敏感性。在所有三个部位和所有临床诊断中，阳性钾敏感率相似，包括子宫内膜异位症、外阴痛共有75%的受试者报告了泌尿系统症状，但只有2.9%的受试者接受了间质性膀胱炎的初步诊断。绝大多数表现为盆腔疼痛的妇科患者钾敏感性试验呈阳性，表明其疼痛可能与患者的年龄有关。膀胱成分（间质性膀胱炎）。间质性膀胱炎在慢性盆腔痛的鉴别诊断中值得更多的考虑。(C)2001年由美国妇产科医师学会。
OBJECTIVE: To document the initial clinical diagnoses, determine the prevalence of urinary symptoms, and test for intravesical potassium sensitivity in gynecologic patients with chronic pelvic pain.METHODS: Gynecologists at three United States medical centers administered the Potassium Sensitivity Test to consecutive unselected pelvic pain patients. Before testing, each patient was given an initial clinical diagnosis based on the patient's chief symptomatic complaint(s) and surveyed for urologic symptoms.RESULTS: Of 134 patients, 114 (85%) had positive potassium sensitivity. Positive potassium sensitivity rates were similar across all three sites and all clinical diagnoses in; eluding endometriosis, vulvodynia (vulvar vestibulitis), and pelvic pain, A total of 75% of the subjects reported urologic symptoms, but only 2.9% received an initial diagnosis of interstitial cystitis.CONCLUSION: A significant majority of gynecologic patients presenting with pelvic pain have a positive Potassium Sensitivity Test, indicating their pain may have a. bladder component (interstitial cystitis). Interstitial cystitis deserves greater consideration in the differential diagnosis of chronic pelvic pain. (C) 2001 by the American College of Obstetricians and Gynecologists.