Walzer Y, Soloway M S
J Urol. 1983 Oct;130(4):672-3. doi: 10.1016/s0022-5347(17)51395-6.
This retrospective study was done to determine if patients who present with bladder tumors should be followed with routine excretory urograms to detect subsequent upper tract tumors at an early stage. The charts of 337 patients who have been followed for up to 9 years were reviewed. Excluding 1 patient with invasive transitional cell carcinoma of the distal ureter, no documented renal pelvic or ureteral tumor was discovered in any of the followup data. This finding is in contradistinction to patients who present with upper tract tumors and who are known to have a 44 to 54 per cent incidence of bladder tumor either pre-dating or post-dating the upper tract tumor. We conclude that routine excretory urography is neither cost-effective nor necessary for the followup of patients who present with bladder tumors.
这项回顾性研究旨在确定，对于患有膀胱肿瘤的患者，是否应通过常规排泄性尿路造影进行随访，以便在早期发现随后出现的上尿路肿瘤。对337例随访时间长达9年的患者病历进行了审查。排除1例远端输尿管浸润性移行细胞癌患者后，在任何随访数据中均未发现有记录的肾盂或输尿管肿瘤。这一发现与患有上尿路肿瘤的患者形成对比，已知这些患者在上尿路肿瘤之前或之后发生膀胱肿瘤的发生率为44%至54%。我们得出结论，对于患有膀胱肿瘤的患者进行随访，常规排泄性尿路造影既不具有成本效益，也没有必要。
