相差显微镜尿红细胞形态检查在血尿鉴别中的意义  

RED CELL MORPHOLOGIC CHANGES EXAMINEDWITH PASE-MICROSCOPE AND ITS SIGNIFICANCE IN IDENTIFICAION OF HEMATURIA

作　　者：朱菊平 王福利 

出　　处：《承德医学院学报》1995年第1期18-19,共2页Journal of Chengde Medical University

摘　　要：应用相差显微镜检测１０５例血尿标本的红细胞形态变化。按尿中红细胞形态的变化百分比分为三类：①变形红细胞＞５０％或以其为主的血尿为肾小球性血尿；②正常红细胞＞５０％或以其为主的血尿为非肾小球性血尿；③上述两种类型各占５０％时称混合性血尿。其中肾小球性血尿（ＧＨ）５３例与临床诊断符合率为９４．３％，非肾小球性血尿（ＮＧＨ）５２例，诊断符合率为９２．３％。本法操作简便、快速，可靠性高达９０％以上，可做为临床血尿患者筛选常规之一。The red cell morphalogic changes were examined with phase-microscope in 105 hematuria samples.The hematuria were classlfied into ttlree typesaccording to the percentage of distorted red cells :(1)glomerular hematuria in which thepercentage of distorted red cells was higher than 50%, (2)nonglomerular hematuria inwhich the percentage of normal cells was higher than 50%,(3)mixed hematuria in whichboth the percentage of distorted red cell and normal red cell were 50%. The clinicaldiagnostic coincidence in 53 cases of glomerular hematuria was 94.3%and 52 cases ofnonglomerular hematuria 92.3%. This method is easy,quick and reliable;its reliabilitywas higher than 90%. It may be used as one of the routine methods for screeninghematuria .

关 键 词：相差显微镜 血尿 红细胞形态 尿液检验 

分 类 号：R695.804[医药卫生—泌尿科学]