Duldulao K E, Diokno A C, Mitchell B
Department of Urology, William Beaumont Hospital, Royal Oak, Michigan, USA.
J Urol. 1997 Jan;157(1):113-6.
A retrospective study was done to determine whether voided urinary cytology was necessary in women with irritative voiding symptoms without hematuria.
A total of 202 cytology studies was obtained from 128 women presenting with urge incontinence and/or irritative voiding symptoms between 1990 and 1995.
Five patients with irritative symptoms and hematuria were diagnosed with transitional cell carcinoma. Cytology was positive in 3 patients, atypical in 1 and normal in 1. No positive cytology studies or carcinomas were noted in patients without hematuria. Urinary tract carcinoma was confirmed by cystoscopy and biopsy if necessary.
The benefits of cytology for patients without hematuria are questioned in the cost-effective treatment of female patients with irritative bladder symptoms.
进行一项回顾性研究，以确定对于无血尿的刺激性排尿症状女性患者，是否有必要进行尿脱落细胞学检查。
1990年至1995年间，从128例有急迫性尿失禁和/或刺激性排尿症状的女性患者中获取了总共202份细胞学检查结果。
5例有刺激性症状和血尿的患者被诊断为移行细胞癌。细胞学检查结果为3例阳性、1例非典型、1例正常。无血尿的患者中未发现细胞学检查阳性结果或癌症。必要时通过膀胱镜检查和活检确诊尿路癌。
在对有刺激性膀胱症状的女性患者进行成本效益治疗时，细胞学检查对无血尿患者的益处受到质疑。
