Copley J B
Am J Med Sci. 1986 Feb;291(2):101-11. doi: 10.1097/00000441-198602000-00005.
The term "isolated asymptomatic hematuria," as it relates to both gross and microscopic hematuria, is defined; and the pros and cons of detection techniques used to localize the source of the hematuria are discussed. An algorithm is provided to optimize detection of structural defects and intrinsic renal disease in an effort to avoid subjecting the patient with this difficult-to-diagnose problem to unnecessary invasive tests. Although invasive tests should be performed where deemed necessary in the clinician's aggressive search to detect any structural abnormality, controversial areas of the evaluation of these patients are addressed. To justify various branch points of the algorithm, a discussion of both renal cell carcinoma and primary renal hematuria is proffered.
定义了与肉眼血尿和镜下血尿相关的“孤立性无症状血尿”一词；并讨论了用于定位血尿来源的检测技术的优缺点。提供了一种算法，以优化对结构缺陷和内在性肾脏疾病的检测，从而避免让患有这种难以诊断问题的患者接受不必要的侵入性检查。尽管在临床医生积极寻找任何结构异常时，在必要的情况下应进行侵入性检查，但也讨论了这些患者评估中存在争议的领域。为了证明该算法的各个分支点合理，还讨论了肾细胞癌和原发性肾血尿。
