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作者对200例无症状性镜下血尿研究检查,随访2年以上。男83例,女117例,平均年龄54岁。结果50例尿细菌培养阳性,大肠菌占24例;189例作尿细胞学检查,18例找到癌细胞,5例活检证明为膀胱癌而尿细胞学检查为阴性;排泄性尿路造影和肾断层摄影见尿路异常者72例,最常见为结石(29例);膀胱镜检发现尿路病损者117例,最常见为前列腺增生症(35例),次为女性患者尿道三角区炎症(30例),膀胱新生物22例;22次膀胱活检发现9例为原位癌。所有病人均随访2年,其中38例初次检查未明确诊断,随访结果有6例出现尿路病变,包括膀胱乳头分化癌1例,肾小结石1例和尿路感染4例。作者将上述病变分为3类:可危及生命或需大手
The author of 200 cases of asymptomatic microscopic hematuria study, followed up for 2 years. There were 83 males and 117 females, with an average age of 54 years. Results 50 cases of urine bacterial culture positive, colorectal accounted for 24 cases; 189 cases of urine cytology, 18 cases of cancer cells found in 5 cases of biopsy proved bladder cancer and urine cytology was negative; excretion urography and kidney Tomography showed abnormal urinary tract in 72 cases, the most common stone (29 cases); cystoscopy found that 117 cases of urinary tract lesions, the most common is benign prostatic hyperplasia (35 cases), followed by female urethral triangle inflammation (30 cases), 22 cases of bladder neoplasms; 22 bladder biopsies found that 9 cases of carcinoma in situ. All patients were followed up for 2 years. Among them, 38 cases were not diagnosed initially, and 6 cases showed urinary tract diseases including 1 case of differentiated bladder papillary carcinoma, 1 case of renal calculus and 4 cases of urinary tract infection. The authors classify the above lesions into three categories: life threatening or need big hands