尿干化学法、尿沉渣分析和显微镜镜检在泌尿系肿瘤患者尿液检测中对比应用研究  

Comparative study on urine dry chemistry method, urinary sediment analyzer and microscope in the urine examination of urologic neoplasms patients

作　　者：陶晓丽 朱惠 朱自力[2] Tao Xiaoli;Zhu Hui;Zhu Zili(Department of Pharmaceutical Technology, Nantong Health Vocational and Technical School, Nantong 226000, China;Department of Clinical Laboratory, Nantong Tumor Hospital, Nantong 226000, China)

机构地区：[1]南通卫生高等职业技术学校药学医技系,226000 [2]南通市肿瘤医院检验科,226000

出　　处：《国际泌尿系统杂志》2019年第3期479-482,共4页International Journal of Urology and Nephrology

摘　　要：目的探讨尿干化学法、尿沉渣分析仪结合显微镜对泌尿系肿瘤患者的诊断价值。方法回顾性分析2015年6月至2017年10月在南通市肿瘤医院治疗的80例泌尿系肿瘤住院患者的临床资料,入选患者均已通过病理检查得以确诊。采集所有患者的尿液标本,并给予尿干化学法、尿沉渣分析仪、显微镜等检查,以分析入选患者尿液中白细胞(WBC)及红细胞(RBC)检出情况。结果尿干化学分析法、尿沉渣分析仪检测WBC的阳性率均高于显微镜检查,差异有统计学意义(P<0.05);尿干化学分析法、尿沉渣分析仪检测RBC的阳性率均高于显微镜检查,差异有统计学意义(P<0.05);以显微镜检测结果为参考标准,尿干化学分析法检测WBC的灵敏度及特异度较尿沉渣分析仪检测结果略低;但其检测RBC的灵敏度及特异度较尿沉渣分析仪检测结果略高;全自动干化学尿液分析仪总成本均比其余两组检查仪器成本相对较少,设备利用率相对较高。结论本研究所采用的三种尿液检测方法均对RBC及WBC具有一定局限性及优势,临床选择检测方法时应依据检测目的选择合适的方法,必要时可将其联合使用,在一定程度上降低漏检率,提高检测精准度。Objective To investigate the value of urine dry chemistry method, urinary sediment analyzer and microscope in the diagnosis of urologic neoplasms. Methods The clinical data of 80 inpatients with urologic neoplasms treated in Nantong tumor hospital from June 2015 to October 2017 were retrospectively analyzed, and all selected cases were confirmed by pathological examination. The urine specimens of all patients were examined by urine dry chemistry method, urinary sediment analyzer and microscope. The detection of white blood cell (WBC) and red blood cell (RBC) in urine of patients were analyzed. Results The positive detection rate of WBC by urine dry chemistry method, urinary sediment analyzer was higher than that by and microscope (P<0.05). The positive detection rate of RBC by urine dry chemistry method, urinary sediment analyzer was higher than that by and microscope (P<0.05). The microscope examination result was taken as the reference standard, the sensitivity and specificity of urine dry chemistry method in the detection of WBC were slightly lower than those of urinary sediment analyzer. The sensitivity and specificity of urine dry chemistry method in the detection of RBC were slightly higher than those of urinary sediment analyzer. The total cost of automatic urine dry chemistry analyzer was less than that of other two inspection instruments, and the utilization rate of instrument was higher. Conclusions The three urine examination methods in the detection of RBC and WBC have some limitations and advantages. When selecting the clinical detection method, the appropriate method should be selected according to the purpose of the test. If necessary, it can be used in combination to reduce the rate of missed detection and improve the accuracy of detection.

关 键 词：泌尿系肿瘤 尿 尿分析 显微镜检查 

分 类 号：R737.1[医药卫生—肿瘤]