检验医学与临床2016，Vol.13Issue(5)：617-618,622,3.DOI:10.3969/j.issn.1672-9455.2016.05.016
尿液红细胞形态筛查在肾脏疾病诊断中的应用
Application of urinary erythrocytes morphological screening in diagnosis of renal diseases
汪伟 1王艳 2方华2
作者信息
- 1. 四川省人民医院肾脏科，成都 610072
- 2. 四川大学华西医学检测所，成都 610072
- 折叠
摘要
Abstract
Objective To observe and analyze the urine red blood cell(RBC) morphology change by using the phase contrast microscope for judging the hematuria source and by combining with the renal biopsy pathological ex ‐amination to make a preliminary clinical diagnosis of kidney disease .Methods The urine RBC morphology in 332 pa‐tients with hematuria was observed and the heteromorphism percentage was calculated ,and combined with the detec‐tion results of urine protein ,pathological casts ,corresponding urine osmotic pressure and pH value for conducting the preliminary screening of hematuria source in order to improve the accuracy of the kidney disease diagnosis .Results Due to different bleeding sites ,there were some differences in urine RBC morphology .The urine specimens without dyeing could clearly display the differences under the phase contrast microscope ,which was easily to distinguish dif‐ferent sizes of RBC .Therefore the RBC morphology examination had clinical application value for identifying the he‐maturia source ,could make a preliminary judgment on renal hematuria ,but which could not serve as the confirming test of kidney diseases .Conclusion Using the phase contrast microscope for preliminary screening of RBC morpholo ‐gy and structure ,and combining with the detection results of urine protein ,pathological casts ,corresponding urine os‐motic pressure and pH value can judge the hematuria source ,thus to guide the clinical diagnosis .关键词
血尿筛查/相差显微镜/红细胞形态/肾脏疾病Key words
hematuria screening/phase contrast microscope/red blood cell morphology/kidney disease引用本文复制引用
汪伟,王艳,方华..尿液红细胞形态筛查在肾脏疾病诊断中的应用[J].检验医学与临床,2016,13(5):617-618,622,3.
