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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 the common causes of painless hematuria and the diagnostic value of cystoscopy in menopausal and senile women. Methods: The clinical manifestations and cystoscopy findings of 254 cases of menopausal and elderly women with hematuria were analyzed. Results: The incidence of painless hematuria in menopausal and senile women was not high. Cystoscopy results suggest that the most common cause of painless hematuria in middle-aged and elderly women is inflammation and cancer. The incidence of cancer is higher than that of the general population. The incidence of cancer in older age is higher than that of menopause. Conclusion: Menopausal and senile women should pay attention to urinalysis at the time of their physical examinations. When hematuria is found, hematuria should be further examined. If necessary, cystoscopy should be performed in order to detect tumor lesions as early as possible.