Fidas A, Mackinlay J Y, Wild S R, Chisholm G D
University Department of Surgery and Urology, Western General Hospital, Edinburgh.
Clin Radiol. 1987 Sep;38(5):479-82. doi: 10.1016/s0009-9260(87)80128-9.
Seventy-five patients, with uncomplicated benign prostatic hypertrophy referred for pre-prostatectomy assessment, were studied to determine whether renal tract ultrasound combined with plain films of kidney, ureters and bladder could provide an acceptable alternative to intravenous urography (IVU). All patients had both IVU and ultrasound. Bladder residual urine volumes were calculated by ultrasound measurements. Fifty-nine (78%) patients had normal IVU and ultrasound. Twelve (16%) had both abnormal IVU and abnormal ultrasound. Four (6%) had positive findings on one examination not detected on the other: two of these occurred with ultrasound and two with IVU. Measurement of residual volume of urine in the bladder by ultrasound and IVU is discussed. The combination of ultrasound and a plain radiograph of the urinary tract provides more information and should replace IVU in the preoperative assessment of patients with uncomplicated benign hypertrophy of the prostate.
对75例因前列腺切除术术前评估而转诊的单纯性良性前列腺增生患者进行了研究，以确定肾脏超声联合肾脏、输尿管和膀胱平片是否能提供一种可接受的替代静脉尿路造影（IVU）的方法。所有患者均接受了IVU和超声检查。通过超声测量计算膀胱残余尿量。59例（78%）患者的IVU和超声检查结果正常。12例（16%）患者的IVU和超声检查结果均异常。4例（6%）患者在一项检查中有阳性发现而在另一项检查中未被检测到：其中2例发生在超声检查中，2例发生在IVU检查中。讨论了通过超声和IVU测量膀胱残余尿量的情况。超声和尿路平片的联合检查能提供更多信息，在单纯性良性前列腺增生患者的术前评估中应取代IVU。
