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간질성 방광염과 방광통증 증후군의 진단과 치료

Diagnosis and treatment of interstitial cystitis and painful bladder syndrome

조현희
대한산부인과학회 (Korean Soceity of Obstetrics and Gynecology)|2009.10|Obstetrics & Gynecology Science|제52권 제10호|pp. 987-993

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참고문헌

키워드

Interstitial cystitis간질성 방광염방광통증 증후군Painful bladder syndrome
주제분류산부인과학

초록

간질성 방광염/방광통증 증후군의 증상은 산부인과적인 질환/수술 및 처치 이후에 촉발되는 경우가 흔하지만, 소변검사나 영상검사에서 특이 소견이 없는 경우가 많기 때문에 대부분의 산부인과 의사들이 간과하게 되는 질환이다. 간질성 방광염/방광통증 증후군은 임상적 증상으로 진단하되, 다른 질환이 없는지를 반드시 감별진단 해야 한다. 대부분 호전과 악화를 반복하며 장기적으로 지속되기 때문에 치료의 목표를 완치가 아닌 증상 개선에 두어야 하며 환자 교육 역시 필수적이다.

Abstract

The symptoms of Interstitial cystitis and painful bladder syndrome (IC and PBS) usually provocated after gynecologic disease or treatment, but gynecologist could not notice these disease because there are no diagnostic findings in urine analysis and radiologic study. IC and PBS should be diagnosed with their clinical symptoms, and exclusion steps for differential diagnosis of other confusable diseases are essential. These diseases are characterized by periods of exacerbation followed by variable periods of remission. The therapy for IC and PBS begins with extensive patient education and the goal of the treatment is not cure, but the remission of the symptoms.

참고문헌 (35)

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