Miles B J, Melser M, Farah R, Markowitz N, Fisher E
Department of Urology, Henry Ford Hospital, Detroit, Michigan.
J Urol. 1989 Sep;142(3):771-3. doi: 10.1016/s0022-5347(17)38883-3.
Between 1984 and March 1987, 120 patients with either the acquired immunodeficiency syndrome or its related complex seen at our hospital were studied retrospectively for urological signs and/or symptoms. Autopsy findings also were reviewed. Of the patients 84 per cent had no complaints referable to the urinary system, 2 per cent had gross hematuria (all with a negative diagnostic evaluation) and 14 per cent had urinary infections. We conclude that only a small percentage of patients with the acquired immunodeficiency syndrome suffer from significant urological manifestations and that a full urological evaluation of such patients generally is not warranted. If the patient presents with gross hematuria excretory urography should be performed if there is no infectious etiology, and cytoscopy should be performed only if the hematuria is life-threatening or prolonged and possibly to confirm significant urographic findings.
1984年至1987年3月期间，对我院收治的120例获得性免疫缺陷综合征或其相关综合征患者进行了回顾性研究，以观察泌尿系统体征和/或症状。同时也对尸检结果进行了回顾。84%的患者没有泌尿系统相关主诉，2%的患者有肉眼血尿（所有诊断评估均为阴性），14%的患者有泌尿系统感染。我们得出结论，只有一小部分获得性免疫缺陷综合征患者有明显的泌尿系统表现，对这类患者一般没有必要进行全面的泌尿系统评估。如果患者出现肉眼血尿，在没有感染病因的情况下应进行排泄性尿路造影，只有在血尿危及生命或持续时间较长且可能用于确认重要的尿路造影结果时才应进行膀胱镜检查。
