医学
膀胱镜检查
尿检
镜下血尿
尿细胞学
泌尿系统
前瞻性队列研究
泌尿科
肉眼血尿
放射科
外科
作者
M.H. Khadra,Robert Pickard,Michael Charlton,Philip Powell,David E. Neal
标识
DOI:10.1016/s0022-5347(05)67916-5
摘要
Purpose: The commonly accepted diagnostic algorithm for hematuria includes excretory urography (IVP) and cystoscopy. Some have suggested that ultrasound of the upper urinary tract is adequate and that cystoscopy is not necessary in younger patients with microscopic hematuria. We ascertain whether a less intensive algorithm could be adopted while retaining diagnostic efficacy.Materials and Methods: A total of 1,930 patients were enrolled prospectively in the study at a hematuria clinic between October 1994 and March 1997. Evaluation consisted of basic demographics, history and examination, routine blood tests, urinalysis and cytology. All patients underwent plain abdominal radiography, renal ultrasound, IVP and flexible cystoscopy.Results: A total of 1,194 males and 736 females with a mean age of 58 years (range 17 to 96) were included in the study. Overall, 61% of patients had no basis found for hematuria, 12% had bladder cancer, 13% had urinary tract infection and 2% had stones. Kidney and upper tract tu...
科研通智能强力驱动
Strongly Powered by AbleSci AI