改善间质性膀胱炎引起的排尿刺激症状的膀胱内治疗和深度学习应用:文献综述。

IF 1.8 3区 医学 Q3 UROLOGY & NEPHROLOGY International Neurourology Journal Pub Date : 2023-05-01 Epub Date: 2023-05-31 DOI:10.5213/inj.2346106.053
Yongwon Cho, Seunghyun Youn
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引用次数: 3

摘要

随着时间的推移,我们对间质性膀胱炎/疼痛性膀胱综合征(IC/PBS)的理解也在不断发展。国际尿失禁协会(International Continence Society)倾向于使用疼痛性膀胱综合征(painful bladder syndrome)这一术语,其特点是 "在没有任何经证实的泌尿感染或其他病变的情况下,膀胱充盈时出现耻骨上疼痛,同时白天和夜间尿频加剧的综合征"。IC/PBS 的诊断主要依据尿急/尿频和膀胱/骨盆疼痛症状。IC/PBS 的确切发病机制仍是一个谜,但推测是由多种因素造成的。相关理论包括膀胱尿路上皮异常、膀胱肥大细胞脱颗粒、膀胱炎症以及膀胱神经支配改变。治疗策略包括患者教育、饮食和生活方式调整、药物治疗、膀胱内治疗和手术干预。本文深入探讨了 IC/PBS 的诊断、治疗和预后预测,介绍了最新的研究成果、人工智能技术在 IC/PBS 主要疾病诊断中的应用以及新兴的替代治疗方法。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

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Intravesical Bladder Treatment and Deep Learning Applications to Improve Irritative Voiding Symptoms Caused by Interstitial Cystitis: A Literature Review.

Our comprehension of interstitial cystitis/painful bladder syndrome (IC/PBS) has evolved over time. The term painful bladder syndrome, preferred by the International Continence Society, is characterized as "a syndrome marked by suprapubic pain during bladder filling, alongside increased daytime and nighttime frequency, in the absence of any proven urinary infection or other pathology." The diagnosis of IC/PBS primarily relies on symptoms of urgency/frequency and bladder/pelvic pain. The exact pathogenesis of IC/PBS remains a mystery, but it is postulated to be multifactorial. Theories range from bladder urothelial abnormalities, mast cell degranulation in the bladder, bladder inflammation, to altered bladder innervation. Therapeutic strategies encompass patient education, dietary and lifestyle modifications, medication, intravesical therapy, and surgical intervention. This article delves into the diagnosis, treatment, and prognosis prediction of IC/PBS, presenting the latest research findings, artificial intelligence technology applications in diagnosing major diseases in IC/PBS, and emerging treatment alternatives.

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来源期刊
International Neurourology Journal
International Neurourology Journal UROLOGY & NEPHROLOGY-
CiteScore
4.40
自引率
21.70%
发文量
41
审稿时长
4 weeks
期刊介绍: The International Neurourology Journal (Int Neurourol J, INJ) is a quarterly international journal that publishes high-quality research papers that provide the most significant and promising achievements in the fields of clinical neurourology and fundamental science. Specifically, fundamental science includes the most influential research papers from all fields of science and technology, revolutionizing what physicians and researchers practicing the art of neurourology worldwide know. Thus, we welcome valuable basic research articles to introduce cutting-edge translational research of fundamental sciences to clinical neurourology. In the editorials, urologists will present their perspectives on these articles. The original mission statement of the INJ was published on October 12, 1997. INJ provides authors a fast review of their work and makes a decision in an average of three to four weeks of receiving submissions. If accepted, articles are posted online in fully citable form. Supplementary issues will be published interim to quarterlies, as necessary, to fully allow berth to accept and publish relevant articles.
期刊最新文献
Public Perceptions of Enuresis: Insights From Online Communities in South Korea and the United States. Serious Games as a Therapeutic Tool in Pediatric Urology: A Review of Current Applications and Future Directions. The Integral Theory, Pelvic Floor Biomechanics, and Binary Innervation. The International Consultation on Incontinence Questionnaire Short Form as a Substitute for 1-Hour Pad Weight Testing in the Evaluation of Urinary Incontinence in Patients With Pelvic Organ Prolapse Undergoing Surgery. Urodynamic and Frequency-Volume Chart Parameters Influencing Anticholinergic Resistance in Patients With Neurogenic Detrusor Overactivity.
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