肉眼血尿

病程中伴有肉眼血尿的IgA肾病患者临床和病理分析

Clinical and Pathological Features of Idiopathic IgA Nephropathy with Gross Hematuria

结果患儿均以肉眼血尿、蛋白尿起病，伴肾功能不全，1例抗中性粒细胞胞浆抗体（ANCA）阳性，肾活检提示肾血管炎改变、肾血管坏死及新月体形成；

Results Two cases presented with gross hematuria , proteinuria and renal dysfunction . One case with antineutrophil cytoplasmic antibody ( ANCA ) - positive and vasculitis lesion with cresent in the renal biopsy ;

术前频发肉眼血尿者为83.3%，术后减为12.5%，相差非常显著（P＜0.01）；

Occurrence rate of haematuria decreased from 83.3 % to 12.5 % ( P < 0.01 );

ESWL治疗后肉眼血尿456例，镜下血尿71例，2d后消失；

456 cases of macroscopic hematuria and 71 cases of microscopic hematuria appeared by ESWL but vanished 2 days .

术后肉眼血尿62例（29%），应用止血药物2d后多自行停止；

Hematuria after operation was found in 62 cases ( 29 % ) . Hematuria mostly disappeared at 2 d after hemostatic drug administration .

2例患者术后肉眼血尿消失，但活动后仍有镜下血尿。结论超声、MRA和左肾静脉造影可确诊左肾静脉压迫综合征。

Conclusion Ultrasonography , MRA and renal venography are decisive for the establishment of final diagnosis of left renal entrapment syndrome .

IgAN患者最多见的临床表现为肉眼血尿（54.08%）；

In IgAN , the most frequent clinical manifestations was macrographic haematuria ( 54.8 % );

目的：探讨非那雄胺对抗栓治疗的BPH患者继发肉眼血尿的治疗。

Objective : To study the effect of finasteride on benign prostatic hyperplasia ( BPH ) related gross hematuria in patients receiving anticoagulant .

除了下尿路梗阻症状外，TURP手术后反复发作的肉眼血尿是患者再次实施TURP的一个重要原因。

Gross hematuria is one of the main causes for repeat TURP besides the low urinary tract symptoms .

患者60岁，因排尿困难伴间歇性肉眼血尿1年，TURP术后症状复发2个月入院。

The complaints consisted of dysuria , intermittent gross hematuria for 1 year , and recurrent symptoms after TURP for 2 months .

胎头娩出困难及肉眼血尿发生率明显降低（P0.01）。半腹膜外组与腹膜外组较腹膜内组术后病死率显著下降，术后发热反应轻，胃肠功能恢复时间早（P0.01）。

In partly extraperitoneal group and extraperitoneal group , postoperative morbidity was decreased significantly , postoperative mean temperature was lower , and gastrointestinal function recovery was earlier than that of intraperitoneal group ( P0.01 respectively ) .

首发症状以肉眼血尿最常见，尿路造影（IVU）、B超、膀胱镜、逆性输尿管肾盂造影、CT及输尿管镜检查是主要的诊断方法，术前诊断符合率93.3%（28/30）。

The common symptom was painless gross hematuria . The main diagnostic methods were intravenous urography ( IVU ), ultrasound , cystoscopy , retrograde ureteropyelography , ureteroscopy , and the preoperative diagnosis corresponding rate was 93.3 % ( 28 / 30 ) .

且临床表现与免疫病理分型间也具有一定相关性，孤立性肉眼血尿患儿中，以IgA型较多见，而表现为肾病综合征患儿中，IgA+IgM+IgG（+C3）型最多见。

The immunofluorescence pattern also showed close relationship with clinical manifestation , as solo IgA deposition was most frequent in patients with isolated hematuria , while deposition of IgA + IgM + IgG ( + C_3 ) was predominant in patients presented with nephrotic syndrome .

结果：持续性镜下或肉眼血尿占97.3%，同侧肾积水占67.6%，伴尿路感染症状占43.2%；CK20在血尿患者膀胱癌诊断中的前瞻性研究

Results : Hematuresis existed in 97.3 % patients , 67.6 % had hydronephrosis . Prospective study of cytokeratin 20 expression in diagnosis of bladder cancer for hematuresis

治疗过程中7例发生感染，2例出现ALT和AST增高，1例有低蛋白血症和水肿，2例出现肉眼血尿。1例牙龈明显增生，脱牙。

During the procedure of treating , infection appeared in 7 cases , the ALT and AST was high in 2 cases , hypoproteinemia and edema in 1 case , gross hematuria in 2 cases , gingival hyperplasia obviously and dedentition in 1 case .

其中6例在术后1d～2d内有腰部酸胀痛，经适当处理后缓解，5例出现肉眼血尿经对症处理后缓解，3例出现排尿困难，处理后缓解。

Among them , 6 cases had soreness and gas pains of waist within the 1st and 2nd days af - ter operation , but relieved after suitable treatment . Another 5 cases developed gross hematuria and 3 cases developed dysuria but relieved after corresponding treatment .

结论：中国汉族人群中，TCRCα基因-575A/G多态性可能和肉眼血尿的发生、系膜增生相关，但可能与肾功能进展不相关。

CONCLUSION : TCRC α - 575 A / G polymorphism may be associated with gross hematuria , but with the prognosis of chronic renal failure in Chinese Han national patients with IgA nephropathy .

成人多囊肾病肉眼血尿的临床意义

Clinical significance of gross hematuria in autosomal dominant polycystic kidney patients

全部病例术后都出现轻重不等的肉眼血尿。

Hematuria occurred in variant extent in every case after treatment .

首次发作肉眼血尿的平均年龄为32岁。

The mean age at the initial episode was 32 years .

主要的临床症状是无痛性肉眼血尿及腰痛。

The most common symptoms were painless gross hematuria and flank pain .

肉眼血尿时间1~3d。

Gross hematuria lasted 1 ~ 3 days postoperatively .

肾周血肿5例，肉眼血尿3例；

Perirenal haematomas occurred in 5 samples and gross hematuria in 3 samples .

3例存在患侧腰区轻度不适，1例出现间歇性肉眼血尿。

Three cases had mild discomfort in the lumbar and 1 had intermittent gross hematuria .

所有患者均有镜下血尿、其中少数伴间歇性肉眼血尿；

All TMN patients had microscopic hematuria .

3例有肉眼血尿、腰痛不适和腹部包块等症状，体检发现右肾肿物1例，查体仅1例表现低热，未见其他阳性发现。

And 3 had gross hematuria , low back pain and discomfort , and abdominal masses .

严重肉眼血尿8例，占3.3%（8/243）；

Serious gross hematuria occurred in 8 cases (( 3.3 ) % , 8 / 243 );

非那雄胺对抗栓治疗的良性前列腺增生患者继发肉眼血尿治疗的研究

Finasteride : An Effective Therapeutic for Benign Prostatic Hyperplasia Related Gross Hematuria in Patients Receiving Anticoagulant

本病常见症状为全程无痛性肉眼血尿；

The main clinical symptom of the disease is painless , whole course , grass hematuria .

服用华法林期间，低抗凝强度组1例肉眼血尿，出血年发生率为2.2%；

No embolism generated but incidence rate of year for hemorrhage was12 % in standard anticoagulation intensity group .