更年期和老年期女性无痛性血尿的膀胱镜检查及临床意义

Cystoscopy in painless hematuria women during climacterium and senectitude

目的:分析更年期和老年期女性无痛性血尿的常见病因和膀胱镜检的诊断价值。方法:对254例更年期和老年期女性血尿患者的临床表现和膀胱镜检查结果进行分析。结果:更年期和老年期女性无痛性血尿伴随症状发生率不高。膀胱镜检查结果提示中老年女性无痛性血尿最常见的病因是炎症和肿瘤,肿瘤的发生率高于一般人群,老年期肿瘤发生率较更年期更高。结论:更年期和老年期女性在体检时应重视尿常规检查,发现血尿时应进一步检查,必要时可行膀胱镜检查,以期及早发现肿瘤病变。

Objective： To analyze common etiologies and diagnostic value of cystoscopy on painless hematuria women during elimacterium and senectitude. Methods： The data of 254 painless hematuria women during climacterium and senectitude were collected. Their clinical manifestation and cystoscopy results were analyzed. Results ： The incidences of clinical simultaneous phenomenon of painless hematuria women during climacterium and senectitude were not high. Cystoscopy results indicated that the most common etiology of female painless hematuria was inflammation and tumor. Tumorigenesis rate in painless hematuria women during climacterium and senectitude was higher than that in common crowd. Tumorigenesis rate in painless hematuria women during seneetitude was higher than that in painless hematuria women during climacterium. Conclusion： Painless hematuria women during climacterium and senectitude should pay attention to urinary routine test when doing medical examination. When hematuria is detected, further check should be done, especially cystoscopy if necessary, thus to discover tumor at an early stage.