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作者对155例无尿路肿瘤的无症状性镜下血尿患者进行了长达10～20年的随访,方法是每隔6个月重复进行尿液分析,尿细胞学检查及交替进行膀胱镜和IVP检查。随访中78%的患者有持续性镜下血尿,分别有30%和20%的患者接受了IVP和膀胱镜检查,70%的患者进行了尿细胞学检查。随访结果有19例异常:12例下尿路感染,4例前列腺增生,2例输尿管结石。另有1例尿细胞学检查Ⅲ级(指可疑癌细胞),但随后尿细胞学复查,IVP和膀胱镜检查均正常。随访期间共有27例患者死于非尿路病变。未发现泌尿生殖系统肿瘤。在无症状镜下血尿患者的随访中,最关心的问题是有无肿瘤发生。作者对155例患者进行了长达10～
The authors followed 155 patients with asymptomatic microscopic hematuria without urothelial tumors for 10 to 20 years by repeatedly performing urinalysis, urinary cytology and alternating cystoscopy and urinalysis every 6 months IVP examination. Follow-up 78% of patients had persistent microscopic hematuria, with 30% and 20% of patients receiving IVP and cystoscopy, respectively, and 70% of patients underwent urinary cytology. Follow-up results were 19 cases of abnormalities: 12 cases of lower urinary tract infection, 4 cases of benign prostatic hyperplasia, 2 cases of ureteral calculi. Another case of urinary cytology grade Ⅲ (suspicious cancer cells), but then urine cytology, IVP and cystoscopy were normal. A total of 27 patients died of non-urinary tract disease during follow-up. No genitourinary tumor found. In the follow-up of patients with asymptomatic microscopic hematuria, the most concern is the presence or absence of a tumor. The authors conducted 155 patients for up to 10 ~