Bagley D H, Allen J
Department of Urology, Jefferson Medical College of Thomas Jefferson University, Philadelphia, Pennsylvania 19107.
J Urol. 1990 Mar;143(3):549-53. doi: 10.1016/s0022-5347(17)40016-4.
Benign essential hematuria is an uncommon syndrome that constitutes a dilemma in diagnosis for the urologist. We studied 32 patients with flexible ureteropyeloscopy. Previous studies included renal arteriography, computerized tomography, ultrasound and urinary cytology. The entire intrarenal collecting system was inspected in 28 of the 32 patients and discrete lesions were found in 16. The most common finding was a hemangioma on a renal papilla in 11 patients. A discrete lesion was treated in 12 patients with successful results in 11. Nonspecific abnormalities were found in 9 patients and attempts at treatment of these lesions in 4 were unsuccessful. No lesion was found in 5 patients. Flexible ureteropyeloscopy offers a minimally invasive approach for the diagnosis of unilateral gross hematuria. Treatment of solitary small discrete lesions was highly successful.
良性特发性血尿是一种罕见的综合征，给泌尿外科医生的诊断带来了难题。我们对32例患者进行了软性输尿管肾盂镜检查。既往研究包括肾动脉造影、计算机断层扫描、超声和尿细胞学检查。32例患者中有28例对整个肾内集合系统进行了检查，其中16例发现了离散性病变。最常见的发现是11例患者肾乳头出现血管瘤。12例患者对离散性病变进行了治疗，11例取得成功。9例患者发现非特异性异常，其中4例对这些病变进行治疗未成功。5例患者未发现病变。软性输尿管肾盂镜检查为单侧肉眼血尿的诊断提供了一种微创方法。孤立性小离散性病变的治疗非常成功。
