Speelman H R, Kessels A G, Bongaerts A H, Delaere K P, de Korte P J, van Engelshove J M
Department of Diagnostic Radiology, De Wever Hospital, Heerlen.
Rofo. 1996 Dec;165(6):524-8. doi: 10.1055/s-2007-1015806.
To compare the diagnostic value of intravenous urography (IVU), ultrasound (US) and their combination in detecting upper urinary tract malignancies in patients with haematuria.
In a prospective study, 360 consecutive patients who consulted the urologist for haematuria without renal colic were scheduled for IVU and US on the same day. The two procedures were performed by two different radiologists and reported independently. Histology or clinical follow-up of one year served as the gold standard.
63 patients dropped out. Of the remaining 297 patients, 9 (3%) had a malignancy in the upper urinary tract. Sensitivity and specificity with regard to the upper urinary tract pathology were 67% and 91% for IVU and 56% and 94% for US, respectively. For both techniques combined this was 79% and 88%, respectively.
An acceptable sensitivity for detecting upper urinary tract malignancies is obtained only by combining IVU and US.
比较静脉尿路造影（IVU）、超声（US）及其联合应用对血尿患者上尿路恶性肿瘤的诊断价值。
在一项前瞻性研究中，360例因血尿前来泌尿外科就诊且无肾绞痛的连续患者于同一天接受IVU和US检查。这两项检查由两位不同的放射科医生进行，并独立报告结果。组织学检查或一年的临床随访作为金标准。
63例患者退出研究。在其余297例患者中，9例（3%）患有上尿路恶性肿瘤。IVU对上尿路病变的敏感性和特异性分别为67%和91%，US分别为56%和94%。两者联合应用时，敏感性和特异性分别为79%和88%。
仅通过联合IVU和US才能获得对上尿路恶性肿瘤可接受的敏感性。
