血尿的定位诊断方法及应用价值  

Hematuria Location Diagnosis Method and Its Application Value

作　　者：鞠德仪[1] 邱巾纯 闫子一 张利莉 JU Deyi;QIU Jinchun;YAN Ziyi;ZHANG Lili(Department of Clinical Laboratory,Jilin Central Hospital,Jilin Jilin 132000,China)

机构地区：[1]吉林市中心医院检验科

出　　处：《中国继续医学教育》2020年第6期61-63,共3页China Continuing Medical Education

摘　　要：目的对血尿定位诊断中采用相差显微镜观察尿红细胞形态的诊断肾性和非肾性血尿的应用价值进行分析。方法选取2018年2月-2019年2月在笔者医院治疗的90例临床血尿患者的尿液标本为研究对象,采用相差显微镜对标本中的红细胞形态进行观察并计算百分率,分析其结果。结果46例肾小球血尿患者中,畸形红细胞的阳性检出率为93.48%(43/46),8.70%(4/46)为混合性阳性率。44例非肾小球疾病患者中血尿中均一型为95.45%(42/44),2.27%(1/44)为混合型。肾性和非肾性血尿患者采用相差显微镜检查结果差异明显。结论相差显微镜可用来检验临床上血尿来源提供依据。Objective To analyze the application value of phase contrast microscope in the diagnosis of hematuria in renal and non-renal hematuria.Methods The urine samples of 90 clinical hematuria patients treated in our hospital from Feburary 2018 to Feburary 2019 were selected.The morphology of red blood cells in the samples was observed by phase contrast microscope and the percentage was calculated and the results were analyzed.Results In 46 patients with glomerular hematuria,the positive rate of abnormal red blood cells was 93.48%(43/46)and 8.70%(4/46)respectively.The average type of hematuria in patients with bulbar disease was 95.45%(42/44)and 2.27%(1/44)was mixed.The results of phase contrast microscope were significantly different between patients with renal hematuria and non-renal hematuria.Conclusion Phase contrast microscope can be used to examine the origin of hematuria.

关 键 词：血尿 畸形红细胞 相差显微镜 红细胞形态 诊断方法 应用价值 

分 类 号：R692[医药卫生—泌尿科学]