Dana A, Michel J R, Affre J, Moreau J F
J Radiol. 1979 Jun-Jul;60(6-7):379-85.
The authors have reviewed the case-reports of 160 patients with urinary tract tuberculosis in whom a complete radiological examination of the lower urinary tract had been performed. They analyze the frequency and significance of any prostatic lesions and describe the most effective investigational procedures for demonstrating such lesions. They were observed in about 50% of patients as opacification of the prostatic cavities, and can be clearly demonstrated in the large majority of cases by micturition cystography after intravenous urography, provided a satisfactory technique hs been used. In those cases where intravenous urography does not permit an effective micturition study, retrograde opacification is necessary, preferably by suprapubic cystography, and in some well-defined cases, by retrograde uretrography. The search for any prostatic affection is not a t a speculative study as it can explain some of the symptoms presented by the patient, and enable specific therapy to be prescribed.
作者回顾了160例接受下尿路完整放射学检查的尿路结核患者的病例报告。他们分析了前列腺病变的发生率及意义，并描述了显示此类病变最有效的检查方法。在约50%的患者中观察到前列腺腔显影，即前列腺病变，若采用满意的技术，在静脉尿路造影后通过排尿性膀胱造影，绝大多数病例均可清晰显示。在静脉尿路造影无法进行有效排尿研究的病例中，逆行显影是必要的，最好采用耻骨上膀胱造影，在某些明确的病例中，采用逆行输尿管造影。对前列腺疾病的检查并非是一项推测性研究，因为它可以解释患者出现的一些症状，并有助于开出特定的治疗方案。
