deVere White R W, Deitch A D, Baker W C, Strand M A
Department of Urology, University of California, Davis School of Medicine, Sacramento.
J Urol. 1988 May;139(5):926-8. doi: 10.1016/s0022-5347(17)42719-4.
Deoxyribonucleic acid flow cytometry of bladder washings has proved to be a valuable procedure for the diagnosis and followup of patients with transitional cell carcinoma. However, for this procedure to gain maximal acceptance, it should be possible to use voided urine specimens instead of bladder washings. To evaluate this possibility we compared histogram findings for 114 bladder washings and 122 concomitantly obtained urine samples (voided and catheterized) from 89 consecutive patients who had active or a history of transitional cell carcinoma. Unsatisfactory histograms were obtained in 4 per cent of the urine samples and in 2.6 per cent of the bladder washing samples. The satisfactory rate for voided or catheterized urine samples was the same. We conclude that in this patient population satisfactory deoxyribonucleic acid histograms can be obtained from samples of voided urine.
膀胱冲洗液的脱氧核糖核酸流式细胞术已被证明是诊断和随访移行细胞癌患者的一种有价值的方法。然而,为了使该方法得到最大程度的认可,应该能够使用排尿标本而非膀胱冲洗液。为评估这种可能性,我们比较了来自89例连续患有活动性移行细胞癌或有移行细胞癌病史患者的114份膀胱冲洗液和122份同时采集的尿液样本(排尿和导尿样本)的直方图结果。4%的尿液样本和2.6%的膀胱冲洗液样本获得的直方图不理想。排尿或导尿样本的满意率相同。我们得出结论,在该患者群体中,可以从排尿样本中获得满意的脱氧核糖核酸直方图。