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静脉尿路造影:诊断膀胱肿瘤的重要辅助手段。

Intravenous urography: important adjunct for diagnosis of bladder tumours.

作者信息

DeFelippo N P, Fortunato R P, Mellins H Z, Richie J P

出版信息

Br J Urol. 1984 Oct;56(5):502-5.

PMID:6534452
Abstract

The intravenous urogram (IVU) has long been considered important for the evaluation of haematuria. A retrospective review of 64 patients with haematuria and subsequent histologically proven carcinoma of the bladder revealed that bladder tumours could be diagnosed pre-operatively in 34 of 46 (76%) of patients with gross haematuria and 12 of of 18 (67%) of those with microhaematuria. Fifteen of 20 IVUs available for review disclosed filling defects on the post-void view in 15/15 (100%), the anteroposterior view in 13/15 (87%), and the oblique view in 7/14 (50%). The IVU, especially the post-void view, permits pre-operative detection of bladder tumours in a majority of patients and can alert the clinician to the need for urgent cystoscopy.

摘要

静脉肾盂造影(IVU)长期以来一直被认为对血尿评估很重要。一项对64例血尿患者及随后经组织学证实为膀胱癌患者的回顾性研究显示,在46例肉眼血尿患者中的34例(76%)以及18例镜下血尿患者中的12例(67%)中,膀胱肿瘤可在术前被诊断出来。可供审查的20份IVU中有15份在排尿后视图中显示充盈缺损的占15/15(100%),前后位视图中显示充盈缺损的占13/15(87%),斜位视图中显示充盈缺损的占7/14(50%)。IVU,尤其是排尿后视图,能在大多数患者中实现膀胱肿瘤的术前检测,并可提醒临床医生有进行紧急膀胱镜检查的必要。

相似文献

1
Intravenous urography: important adjunct for diagnosis of bladder tumours.静脉尿路造影:诊断膀胱肿瘤的重要辅助手段。
Br J Urol. 1984 Oct;56(5):502-5.
2
Are dedicated bladder films necessary as part of intravenous urography for haematuria?作为血尿静脉尿路造影检查的一部分,是否需要专门拍摄膀胱片?
BJU Int. 2000 May;85(7):806-10. doi: 10.1046/j.1464-410x.2000.00631.x.
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Pre-cystoscopic diagnosis of bladder tumour by modified intravenous urography.改良静脉尿路造影对膀胱肿瘤的膀胱镜检查前诊断
Br J Urol. 1984 Aug;56(4):381-4. doi: 10.1111/j.1464-410x.1984.tb05826.x.
4
Intravenous urography for diagnosing synchronous upper-tract tumours in patients with newly diagnosed bladder carcinoma can be restricted to patients with high-risk superficial disease.对于新诊断为膀胱癌的患者,用于诊断同步上尿路肿瘤的静脉肾盂造影可仅限于高危浅表性疾病患者。
Clin Radiol. 2007 Sep;62(9):854-7. doi: 10.1016/j.crad.2007.04.003. Epub 2007 Jun 6.
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The significance of cystoscopy for the diagnosis of urothelial tumour.膀胱镜检查在尿路上皮肿瘤诊断中的意义。
Int Urol Nephrol. 1993;25(2):135-9.
6
The value of the pre-clinic intravenous urogram in the earlier diagnosis of the cause of haematuria.
Br J Urol. 1988 Jul;62(1):11-2. doi: 10.1111/j.1464-410x.1988.tb04256.x.
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Urinary tract ultrasonography in the evaluation of haematuria--a report of over 1,000 cases.超声检查在血尿评估中的应用——1000余例报告
Ann R Coll Surg Engl. 2002 May;84(3):203-5.
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Computed tomography urography for diagnosing bladder cancer.计算机断层扫描尿路造影术用于诊断膀胱癌。
BJU Int. 2006 Aug;98(2):345-8. doi: 10.1111/j.1464-410X.2006.06216.x.
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A useful sign in the diagnosis of bladder tumours on intravenous urograms.静脉肾盂造影中诊断膀胱肿瘤的一个有用征象。
Br J Radiol. 1974 May;47(557):272-6. doi: 10.1259/0007-1285-47-557-272.
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Value of excretory cystography in the diagnosis of bladder tumours.排泄性膀胱造影术在膀胱肿瘤诊断中的价值。
Br J Urol. 1984 Oct;56(5):499-501.

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