摘要
目的探讨膀胱镜检对无症状镜下血尿的有效性。方法213例无症状镜下血尿病人静脉肾盂造影(IVP)、尿细胞学和其他肾脏评价检查。结果213例中55例发现异常病变。镜下血尿31例,很难解释为镜下血尿24例。结论膀胱镜检应为排除膀胱肿瘤无症状镜下血尿病人初期的诊断方法,特别在50岁以上病人中诊断价值较高。
[Objective] The cystoscopy has been one of initial diagnostic modalities in the evaluation of microscopic hematuria along with intravenous pyelography and urine cytology, but questions have been raised about its efficacy in the evaluation of asymptomatic microscopic hematuria. For the patients who visit outpatient clinics, the cystoscopy has been looked upon as rather invasive compared to other diagnostic methods. We tried to elucidate the actual diagnostic value of the cystoscopy in the evaluation of asymptomatic microscopic hematuria. [Method] We reviewed the results of cystoscopic exams of 213 patlents（mean age： 49.7） who visited our hospital due to asymp- tomatic microscopic hematuria. For all of the 213 patients, no definite lesion that could explain the microscopic hematuria was detected by means of IVP, urine cytology, and other nephrologic evaluations. [Results] There were abnormal cystoscopic findings in 55 of the 213 patients who underwent cystoscopic exams. The lesions that are suspected to be directly related to microscopic hematuria were classified as ‘the significant lesions＇ （31 patients, 17.6%）： The lesions that cannot account for microscopic hematuria were classified as ‘the insignificant lesions＇ （24 patients, 9.84%）. 27 of the 31 patients with the significant lesions（85.2%） were over 50 yearn old, and further more, 3 patients who were diagnosed as bladder tumor by cystoscopy were over 60. [Conclusions] The cystoscopy should be utilized as initial diagnostic modality for asymptomatic microscopic hematuria to rule out any possibility of bladder tumor occurrence, and for the patients over 50 in age, its diagnostic value could be emphasized even more.
出处
《中国内镜杂志》
CSCD
北大核心
2006年第6期603-604,607,共3页
China Journal of Endoscopy
关键词
膀胱镜检查
镜下血尿
无症状
cystoscopy
microscopic hematufia
asymptom
