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[尿路结石患者的尿细胞学检查]

[Urinary cytology in patients with urolithiasis].

作者信息

Nakatsu H, Masai M, Okano T, Isaka S, Shimazaki J, Matsuzaki O, Horiuchi F

机构信息

Department of Urology, School of Medicine, Chiba University, Japan.

出版信息

Nihon Hinyokika Gakkai Zasshi. 1991 Aug;82(8):1281-5. doi: 10.5980/jpnjurol1989.82.1281.

Abstract

Urinary cytological examination was performed on 1032 patients of urolithiasis at the Department of Urology, Chiba University Hospital between 1980 and 1990. Seven hundred twenty-four were male and 308 were female, and the mean age was 44 years. The results of cytological examination of I-II and IV-V were classified as negative and positive, respectively. Eleven patients (1.1%) were positive, 2 of whom were found to be with renal pelvic tumor. False-positive findings were noticed in 9 cases (0.9%), and the abnormal cytologic changes in these cases disappeared after the calculi were removed. In negative cytological cases, 2 cases of renal pelvic tumor were found, one at nephrectomy and the other at percutaneous nephrolithotripsy. These cases were with staghorn calculi with hydronephrosis. The significance of cytological examination in management of calculous diseases were discussed.

摘要

1980年至1990年间,对千叶大学医院泌尿外科的1032例尿路结石患者进行了尿细胞学检查。其中男性724例,女性308例,平均年龄44岁。细胞学检查结果I-II级和IV-V级分别分类为阴性和阳性。11例(1.1%)为阳性,其中2例被发现患有肾盂肿瘤。9例(0.9%)出现假阳性结果,这些病例的异常细胞学变化在结石清除后消失。在细胞学检查阴性的病例中,发现2例肾盂肿瘤,1例在肾切除术中发现,另1例在经皮肾镜碎石术中发现。这些病例均为鹿角形结石伴肾积水。讨论了细胞学检查在结石疾病治疗中的意义。

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