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肾囊肿可能导致血尿出现的可能性的临床研究

[Clinical research on the possibility that renal cysts may be responsible for the appearance of hematuria].

作者信息

Bonomo L, Ghimenti A, Picardi N

机构信息

Facoltà di Medicina e Chirurgia, Cattedra di Pronto Soccorso e Terapia d'Urgenza, Università degli Studi G. D'Annunzio di Chieti.

出版信息

Ann Ital Chir. 1991 Mar-Apr;62(2):165-9; discussion 170.

PMID:1755596
Abstract

New techniques of study, namely echography, urography, TC, give evidence of a great number of asymptomatic renal cysts in the everyday experience. Then also if haematuria was classically considered one of the symptoms of renal cysts, there are now many reasons to consider such evidence very infrequent, and downright there are some valid doubts that renal cysts may cause haematuria at all. So the authors have analysed 113 patients, most of them coming from Institute of Radiology of Chieti University Faculty of Medicine; all of them had renal cysts diagnosed by echographs and/or urography but only a minority were just from the beginning studied for haematuria, whereas the majority for many different symptoms. Total cases was then divided into two groups: one of 102 patients, all without haematuria; 78 of them had been studied only with echography, whereas other 24 patients had been examined both with echography and urography. The second group, of 11 cases, included all the patients who had both renal cysts and haematuria. Only in two cases of this second group was lacking evidence of any associated pathology which must be responsible for haematuria, whereas in all the other 9 cases a different aetiology of the haematuria was demonstrated, for simultaneous presence of various pathologies (cystopyelitis with associated prostatis, haemorrhagic cystitis, bladder diverticula and renal papillomas and upper urinary ways tumours), all much easier responsible by themselves of haematuria, also if with different features from case to case.(ABSTRACT TRUNCATED AT 250 WORDS)

摘要

新的研究技术,即超声检查、尿路造影、计算机断层扫描,在日常实践中发现了大量无症状肾囊肿。那么,尽管血尿传统上被认为是肾囊肿的症状之一,但现在有很多理由认为这种情况非常罕见,甚至有人对肾囊肿是否会引发血尿存在合理怀疑。因此,作者分析了113名患者,其中大多数来自基耶蒂大学医学院放射科;他们均通过超声检查和/或尿路造影诊断出肾囊肿,但一开始只有少数患者是因血尿接受检查,而大多数是因多种不同症状。总病例随后分为两组:一组102名患者,均无血尿;其中78人仅接受了超声检查,另外24人同时接受了超声检查和尿路造影。第二组11例,包括所有既有肾囊肿又有血尿的患者。在这第二组中,只有两例没有发现任何可能导致血尿的相关病理证据,而在其他9例中,均证实血尿有不同病因,因为同时存在各种病理情况(膀胱炎伴前列腺炎、出血性膀胱炎、膀胱憩室、肾乳头瘤和上尿路肿瘤),它们本身都更容易引发血尿,尽管不同病例的特征有所不同。(摘要截断于250字)

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