Chisholm R A, Millet B, Sherwood T, Wraight E P, Doyle P T
Department of Radiology, Addenbrooke's Hospital, Cambridge.
Clin Radiol. 1988 Sep;39(5):494-5. doi: 10.1016/s0009-9260(88)80210-1.
In order to test in a prospective study the suggestion that there should be a shift from the intravenous urogram to DMSA scintigraphy for the diagnosis of suspected renal masses, both investigations were performed in 63 patients with painless haematuria. While the sensitivity of both investigations was similar in renal lesions, specificity was slightly less for scintigraphy. These findings, together with the intrinsic limitations of the DMSA scintigram in detecting lesions elsewhere in the urinary tract, lead us to conclude that the intravenous urogram should remain the initial investigation for painless haematuria unless there are specific contraindications.
为了在一项前瞻性研究中检验关于诊断疑似肾肿块应从静脉肾盂造影转向二巯基丁二酸（DMSA）闪烁扫描术的建议，对63例无痛性血尿患者同时进行了这两项检查。虽然在肾病变方面两项检查的敏感性相似，但闪烁扫描术的特异性略低。这些发现，连同DMSA闪烁扫描图在检测尿路其他部位病变方面的固有局限性，使我们得出结论，除非有特定禁忌证，静脉肾盂造影仍应作为无痛性血尿的初步检查方法。
