Messing E M, Young T B, Hunt V B, Roecker E B, Vaillancourt A M, Hisgen W J, Greenberg E B, Kuglitsch M E, Wegenke J D
Department of Surgery, University of Wisconsin School of Medicine, Madison.
J Urol. 1992 Aug;148(2 Pt 1):289-92. doi: 10.1016/s0022-5347(17)36575-8.
The majority of urinary tract tumors cause bleeding in the urine. A program designed to detect hematuria before it is grossly apparent may contribute to earlier detection and more successful treatment of these malignancies. To test this hypothesis a hematuria home screening study was conducted. A total of 1,340 healthy men 50 years old or older used chemical reagent strips for 14 consecutive days to test the urine. Of the men 283 (21.1%) had at least 1 episode of hematuria. Of the 192 hematuria positive men who received a complete urological evaluation 16 (8.3%) had urological cancers and 47 (24.5%) had other hematuria-causing diseases that required immediate treatment. The quantity and frequency of hematuria were not related to disease severity. A hematuria home screening regimen is feasible and economical, and may promote the early detection of urinary tract cancers and other diseases in men more than 50 years old.
大多数泌尿系统肿瘤会导致血尿。一项旨在在肉眼明显血尿出现之前检测血尿的计划可能有助于这些恶性肿瘤的早期发现和更成功的治疗。为了验证这一假设，开展了一项血尿家庭筛查研究。共有1340名50岁及以上的健康男性连续14天使用化学试剂条检测尿液。在这些男性中，283人（21.1%）至少有1次血尿发作。在接受全面泌尿外科评估的192名血尿阳性男性中，16人（8.3%）患有泌尿系统癌症，47人（24.5%）患有其他需要立即治疗的血尿病因疾病。血尿的量和频率与疾病严重程度无关。血尿家庭筛查方案是可行且经济的，并且可能比50岁以上男性更能促进泌尿系统癌症和其他疾病的早期发现。
