DeFelippo N P, Fortunato R P, Mellins H Z, Richie J P
Br J Urol. 1984 Oct;56(5):502-5.
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.
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。