Christoffersen I, Møller I
Eur Urol. 1981;7(2):65-7.
The problems about the value of excretory urography as a preoperative diagnostic examination in patients with benign hypertrophy of the prostate are discussed. On the basis of IVPs, renal function, and absence of hematuria and/or infection in 500 consecutive patients who were to undergo prostatic surgery, it is concluded that IVP is a superfluous examination. In patients with impaired renal function (Se-creatinine greater than 1.5 mg%) IVP showed abnormalities in 41.3%. In patients with normal renal function and urinary tract infection IVP revealed abnormalities in 20.6%. In patients with normal renal function and microscopic hematuria IVP showed abnormalities in 19.2%. It is thus concluded that IVP should be undertaken in patients with impaired renal function (Se-creatinine greater than 1.5 mg%) and may be considered in patients with normal renal function with hematuria or infection.
讨论了排泄性尿路造影作为前列腺良性增生患者术前诊断检查的价值问题。基于对500例即将接受前列腺手术患者的静脉肾盂造影（IVP）、肾功能以及无血尿和/或感染情况的分析，得出结论：IVP是一项多余的检查。在肾功能受损（血清肌酐大于1.5mg%）的患者中，IVP显示异常的比例为41.3%。在肾功能正常且有尿路感染的患者中，IVP显示异常的比例为20.6%。在肾功能正常且有镜下血尿的患者中，IVP显示异常的比例为19.2%。因此得出结论，肾功能受损（血清肌酐大于1.5mg%）的患者应进行IVP检查，而肾功能正常但有血尿或感染的患者可考虑进行该项检查。
