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首页> 外文期刊>Academic radiology >Evaluation of the Patient with Asymptomatic Microscopic Hematuria
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Evaluation of the Patient with Asymptomatic Microscopic Hematuria

机译：无症状性镜下血尿患者的评估

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Asymptomatic microscopic hematuria (AMH) is relatively common in clinical practice but the etiology remains unclear in the majority of patients; it is rarely related to genitourinary malignancies. The 2012 guidelines of,the American Urological-Association recommend an evaluation after a single positive urinalysis with mandatory upper tract evaluation in all patients, preferably with CT urography (CTU). The likelihood of detecting significant upper track abnormalities, particularly malignancies is low with CTU, while incidental extraurinary abnormalities are often found, the majority of which are not clinically significant. The workup for these incidental findings has significant financial and clinical implications. Primary care physicians, who are most apt to encounter patients with AMH, have a low rate of adherence to the AUA guidelines, possibly as a result of the broadening of criteria for AMH evaluation by the AUA, with resultant uncertainty amongst primary care physicians about the appropriate candidates for such evaluation. Selection of subgroups of patients with risk factors for GU malignancies who may benefit from a complete evaluation is essential, as opposed to evaluation of all patients classified as having AMH.
机译：无症状的显微镜下血尿（AMH）在临床实践中相对常见，但大多数患者的病因仍不清楚;它很少与泌尿生殖系统恶性肿瘤相关。美国泌尿外科协会2012年指南建议对所有患者进行单次阳性尿液分析后进行强制性上尿路评估，最好采用CT尿路造影（CTU）。 CTU检测到明显的上道异常，尤其是恶性肿瘤的可能性很低，而经常发现偶然的尿外异常，其中大多数在临床上并不重要。对这些偶然发现的检查具有重大的财务和临床意义。最容易接触AMH患者的初级保健医生对AUA指南的依从率较低，这可能是由于AUA扩大了AMH评估标准的结果，导致初级保健医生对治疗AMH的不确定性进行此类评估的合适候选人。与评估所有归类为AMH的患者相反，选择具有GU恶性肿瘤危险因素的患者亚组可能要从全面评估中受益。

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