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相差显微镜下红细胞形态在鉴别血尿来源中的临床价值
引用本文:吴智勇,陈玮,代耀华.相差显微镜下红细胞形态在鉴别血尿来源中的临床价值[J].临床和实验医学杂志,2010,9(18):1370-1372.
作者姓名:吴智勇  陈玮  代耀华
作者单位:1. 湖南省人民医院检验科,湖南,长沙,410005
2. 湖南师范大学医学院医学检验系2004级,湖南,长沙,410013
摘    要:目的探讨相差显微镜下血尿中红细胞形态改变在鉴别血尿来源中的临床价值。方法收集肾小球性疾病血尿215例;非肾小球性血尿233例;正常对照组210例,用相差显微镜观察尿红细胞形态与临床肾活检诊断血尿进行比较,评价相差显微镜下尿红细胞形态判定血尿来源的可靠性。结果215例肾小球性血尿患者中非均一红细胞血尿阳性率为96.3%,均一性红细胞血尿阳性率为3.7%,233例非肾小球性血尿患者中均一红细胞血尿阳性率为96.1%,非均一性红细胞血尿阳性率为3.9%。相差显微镜法的灵敏度为96.3%,特异度为96.1%。结论在相差显微镜下检测红细胞形态操作简便,结果与临床符合率较高,敏感性和特异性都较高,对鉴别血尿来源和定位诊断具有一定的临床应用价值。

关 键 词:血尿  相差显微镜  红细胞形态

Red blood cell morphology under phase contrast microscope in determining the source of hematuria.
WU Zhi-yong,CHEN Wei,DAI Yao-hua.Red blood cell morphology under phase contrast microscope in determining the source of hematuria.[J].Journal of Clinical and Experimental Medicine,2010,9(18):1370-1372.
Authors:WU Zhi-yong  CHEN Wei  DAI Yao-hua
Institution:WU Zhi-yong1,CHEN Wei1,DAI Yao-hua2.1 Department of Medical Laboratory,Hunan Provincial People's Hospital,Changsha Hunan 410005,China,2 Grade 2004,Department of Clinical Laboratory Examination,The Medical College of Hunan Normal University,Changsha Hunan 410013,China.
Abstract:Objective To explore the clinical significance of urinary red blood cell morphology in determining the source of hematuria.Methods Urines from 215 patients with glomerular hematuria,233 patients with non-glomerular hematuria were collected.Urines collected from 210 healthy subjects were used as control.Urine red blood cell morphology was observed under phase contrast microscope and hematuria was examined by renal biopsy.The reliability of urinary red blood cell morphology in determining of the source of hem...
Keywords:Hematuria  Phase contrast microscope  Red blood cell morphology  
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