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肾活检术前后尿相差显微镜检查282例临床分析

芮章茹 殷玉敏 王晋文 刘虹

昆明医学院学报2011,Vol.32Issue(10):113-115,127,4.
昆明医学院学报2011,Vol.32Issue(10):113-115,127,4.

肾活检术前后尿相差显微镜检查282例临床分析

Comparative Study of Urine Sediment Analysis with Microscopy before and after Kidney Biopsy among 282 Patients

芮章茹 1殷玉敏 1王晋文 1刘虹1

作者信息

  • 1. 昆明医学院附属延安医院肾脏内科,云南昆明 650051
  • 折叠

摘要

Abstract

Objective To study the difference of microscopic hematuria before and after kidney biopsy and the influence on the therapy. Method We evaluated 282 patients' microscopic hematuria before and after kidney biopsy in our department from January 2008 to July 2011 and discussed the difference. Results 282 cases were chronic glomerulonephritis (including asymptomatic hematuria and proteinuria syndrome) and essential nephritic syndrome, secondary kidney disease was lupus nephritis, mostly. Clinical manifestations were hematuria, proteinuria, and edema. However, pathological types including mesangial proliferative glomerulonephritis, IgA nephropathy and minor change disease. We found a high incidence of postoperative hematuria, mainly were shaped red blood cells detected by urine sediment analysis with microscopy. Moreover, patients with renal dysfunction were more likely to have gross hematuria. Conclusions Lots of reasons account for the increase of hematuria after kidney biopsy, not only by renal vassal injury caused by the surgery. Timely urine sediment analysis with microscopy will identify the cause of hematuria, which is significantly important for clinical disposal.

关键词

肾活检术/血尿/尿相差镜检

Key words

Kidney biopsy/ Hematuria/ Urine sediment analysis with microscopy

分类

医药卫生

引用本文复制引用

芮章茹,殷玉敏,王晋文,刘虹..肾活检术前后尿相差显微镜检查282例临床分析[J].昆明医学院学报,2011,32(10):113-115,127,4.

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