Olivo J F, Guille F, Lobel B
Service d'Urologie, CHR, Rennes.
J Urol (Paris). 1989;95(8):453-8.
Microscopic hematuria, a frequent cause for consultation, poses a problem regarding its significance. It is essential that a curable pathology is not neglected. In the absence of associated clinical data, nephrological orientation of investigations depends on the study of urinary sediments and phase contrast microscopy. Where there is a urological orientation, half the lesions involve the lower urinary tract; the use of flexible urethrocystoscopy has been a true advance in terms of its simplicity and reliability. When a lesion is demonstrated the question still remains as to whether it is in fact responsible for the microscopic hematuria. It is best to remain prudent when a poorly significant lesion is discovered. Since 20% of microscopic hematurias remain unexplained, how far should one go in the paraclinical investigation and follow up of involved patients?
镜下血尿是常见的就诊原因，但其意义存在问题。不忽视可治愈的病理情况至关重要。在缺乏相关临床资料时，检查的肾脏科方向取决于对尿沉渣和相差显微镜检查的研究。在有泌尿外科方向的情况下，一半的病变累及下尿路；软性尿道膀胱镜的使用在简便性和可靠性方面是一项真正的进步。当发现病变时，问题仍然是它是否实际上是镜下血尿的原因。当发现意义不大的病变时最好保持谨慎。由于20%的镜下血尿仍无法解释，在对相关患者进行临床检查和随访时应进行到何种程度？
