Dana A, Michel J R, Jungers P, Sibert-Zbili A, Droz D, Moreau J F
Nouv Presse Med. 1981 Mar 14;70(12):963-6.
From a study of 216 patients with microscopic haematuria who were helped by technically complete intravenous urography (IU), the authors conclude that this investigations method is particularly valuable when haematuria is unaccompanied by proteinuria, pyuria or renal insufficiency. IU led to an etiological diagnosis in almost 50 p. cent of the patients revealing, among other causes, numerous calculi and a non-negligible number of tumours. Renal biopsy is very useful in cases with proteinuria but has few indications in isolated microscopic haematurias. The same applies to diagnostic angiography. Cystoscopy should be considered angiography. Cystoscopy should be considered when IU might be unable to detect small tumours of the bladder or, more generally, lesions of the vesical mucosa, particularly frequent in patients with pyuria.
通过对216例镜下血尿患者进行的一项研究，这些患者接受了技术上完整的静脉尿路造影（IU）并从中受益，作者得出结论：当血尿不伴有蛋白尿、脓尿或肾功能不全时，这种检查方法特别有价值。IU在近50%的患者中得出了病因诊断，发现了众多结石以及数量不可忽视的肿瘤等其他病因。肾活检在蛋白尿病例中非常有用，但在孤立性镜下血尿中指征较少。诊断性血管造影也是如此。当IU可能无法检测到膀胱小肿瘤或更普遍地说无法检测到膀胱黏膜病变时，应考虑膀胱镜检查，这种病变在脓尿患者中尤其常见。
