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目的 观察新近性交是否导致镜下血尿 ,探讨血尿原因。方法 健康已婚志愿者男、女各 40例 ,提供与配偶性交之前和性交之后第 1d晨尿、中午和傍晚尿及第 2d晨尿的中段尿样本 ,按指引用干化学试纸法测试尿样中的血尿反应。测试阳性者进行系统检查 ,随访 2年。结果 性交之前所有志愿者血尿测试呈阴性反应。男性组性交后第 1d晨尿、中午和傍晚尿及第 2d晨尿血尿测试均呈阴性反应。女性组 ,性交之后第 1d晨尿有 9例呈阳性反应 ,明显高于性交前和男性组 (P <0 0 1) ;此 9例中的 3例性交后第 1d中午血尿测试仍呈阳性 ;傍晚尿和性交之后第 2d晨尿无阳性反应者。 9例血尿试验阳性者有 5例接受了随访 ,未见泌尿系肿瘤等。结论 新近性交是女性镜下血尿的原因。评价女性无症状镜下血尿时 ,应了解新近性交史。
Objective To observe whether sexual intercourse leads to microscopic hematuria and to explore the causes of hematuria. Methods 40 healthy male and female volunteers were enrolled in this study. The urine samples of the first day, the morning and the afternoon, and the morning urine samples of the morning, morning and afternoon after sexual intercourse were tested. Urine samples In the hematuria reaction. Test positive for systematic examination, followed up for 2 years. Results All volunteers before sexual intercourse tested negative for hematuria. The morning urine, noon and evening urine in the male group and the morning urine hematuria test in the 2nd day after the intercourse were both negative. In the females group, 9 cases of morning urine were positive in the first day after intercourse, which was significantly higher than that of the pre-intercourse group and the male group (P <0.01). Three of the 9 cases were still positive at the 1st day after the intercourse, Afternoon urine and sexual intercourse after 2d morning urine no positive reaction. 5 cases of 9 cases of hematuria test positive were followed up, no urinary tumors and so on. Conclusions Recent sexual intercourse is the cause of microscopic hematuria in women. Evaluation of women asymptomatic microscopic hematuria, should understand the recent history of intercourse.