新近性交所致女性镜下血尿的临床研究  

A Clinical Study on Microscopic Hematuria Caused by Recent Sexual Intercourse in Women

作　　者：桂西青[1] 胡文彬[1] 郑巍[1] 苗永青[1] 王亚南[1] 

机构地区：[1]中山大学附属第五医院泌尿外科,广东珠海519000

出　　处：《中国医师杂志》2004年第11期1477-1479,共3页Journal of Chinese Physician

摘　　要：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 recent sexual intercourse might cause microscopic hematuria, and investigate the cause of hematuria. Methods Eighty healthy volunteers (40 men and 40 women) consented to have intercourse with their married couples and provide samples of urine for testing before intercourse and the first day morning, noon, evening and the second day morning after intercourse. After appropriate instruction, volunteers tested their own urine for the presence of blood using standard dipsticks. Any volunteer with hematuria after intercourse was offered a comprehensive hematuria assessment and followed-up for two years. Results None of the volunteers had positive hematuria before sexual intercourse. 9 of the 40 women, but no men, had positive hematuria at the first day morning after intercourse, and 3 of the nine patients with hematuria still had positive hematuria at the noon of the first day. Five women of 9 patients with hematuria accepted two years follow-up and no abnormal was identified. Conclusion It suggested that recent sexual intercourse was a cause of asymptomatic microscopic hematuria in women, and a history of recent sexual intercourse should be considered when assessing the clinical significance of microscopic hematuria in women.

关 键 词：性交后 晨尿 镜下血尿 阳性 女性 性反应 阴性 中午 志愿者 结论 

分 类 号：R691.9[医药卫生—泌尿科学]