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[慢性刺激性尿路综合征。膀胱镜检查、尿液细胞学检查及活检的诊断价值]

[Chronic irritative urinary syndrome. Diagnostic value of cystoscopy, urinary cytology and biopsy].

作者信息

Guzmán Esquivel J, Manzanilla H, Zungri Telo E, Da Silva E A

机构信息

Servicio de Urología, Hospital General de México.

出版信息

Actas Urol Esp. 1997 Nov-Dec;21(10):973-7.

PMID:9494162
Abstract

Chronic irritative urinary syndrome (CIUS), is a diagnostic concern for urologists from the moment that it becomes chronic and there is no etiologic diagnostic available. The objective of this study is to find out the diagnostic value of Cystoscopy, Urinary cytology and Biopsy of the vesical mucosa. A prospective, descriptive study was conducted in 30 patients who developed CIUS. Cystoscopy showed visible damage in 7 patients (31.8%); urinary cytology, 22 patients with cytologic changes (73.3%); and vesical biopsy, 24 patients with histologic changes (80.0%). The authors conclude that CIUS occurs more frequently in females than in males, the age range with higher incidence are 43 and 45 years. The most common diagnosis are unspecific chronic inflammatory changes followed by metaplasia.

摘要

慢性刺激性尿路综合征(CIUS),从其变为慢性且尚无病因诊断之时起,就是泌尿外科医生关注的诊断问题。本研究的目的是找出膀胱镜检查、尿液细胞学检查和膀胱黏膜活检的诊断价值。对30例发生CIUS的患者进行了一项前瞻性描述性研究。膀胱镜检查显示7例患者有可见损伤(31.8%);尿液细胞学检查显示22例患者有细胞学改变(73.3%);膀胱活检显示24例患者有组织学改变(80.0%)。作者得出结论,CIUS在女性中比男性更常见,发病率较高的年龄范围是43岁和45岁。最常见的诊断是非特异性慢性炎症改变,其次是化生。

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