成人无症状镜下血尿的病因分析

Etiology of asymptomatic microscopic hematuria in adults

对198例无症状镜下血尿进行了病因分析，结果发现≥40岁的147例患者中，39．5％有阳性发现，其中6．1％存在泌尿系肿瘤，23．8％存在其他比较严重的疾病，9．5％发现轻度病变，剩余的查不出明显原因。＜40岁的51例中，21．6％有阳性发现，其中只有1例是泌尿系肿瘤。认为对于那些未查明原因的镜下血尿，应该每隔3个月进行1次尿常规及尿细胞学检查，并根据随诊结果和泌尿系症状再决定是否需要继续随诊。

The etiology of 198 patients with asmptomatic microscopic hematuria was evaluat-ed. of 147 patients over the age of 40,39. 5% had a positive diagnosis. 6. 1% were found to have a genitourinary tumor,while 23.8% had other severe urologic diseases and 9.5% had. non-severe urologic lesions. However,the other patients had unknown etiology of microscopic hematuria. of the 51 patients under the age of 40,21. 6% had a positive diagnosis (only one patient with genitouri-nary cancer). once aspoptomatic microscopic hematuria is estabished and no etiological causes iden-tified,the patient should be followed by means of urinalysis and cytology every three months.