尿液干化分析和尿沉渣镜检联合检测在泌尿系统疾病诊断中的价值  

Value of Combined Detection of Urine Dry Analysis and Urine Sediment Microscopy in the Diagnosis of Urinary System Diseases

作　　者：陈尚龙 CHEN Shanglong(Department of Laboratory,Jiujiang Chaisang District People's Hospital,Jiujiang 332100,Jiangxi,China)

机构地区：[1]九江市柴桑区人民医院检验科,江西九江332100

出　　处：《医学信息》2024年第23期147-150,共4页Journal of Medical Information

摘　　要：目的研究尿液干化分析和尿沉渣镜检联合检测在泌尿系统疾病诊断中的价值。方法选取2020年1月-2023年3月我院诊治的60例泌尿系统疾病患者为研究对象,以尿细菌培养作为金标准,纳入患者均进行尿液干化分析法、尿沉渣镜检以及尿液干化分析+尿沉渣镜检联合检测,观察不同检测方法操作时间、确诊时间、不同疾病诊断准确率,以及对红细胞和白细胞、管形以及蛋白的检测阳性率,并分析不同检测方法对泌尿系统疾病的诊断效能(灵敏度、特异度)。结果尿液干化分析法操作时间、确诊时间短于尿沉渣镜检、尿液干化分析法+尿沉渣镜检联合检测,且尿沉渣镜检短于联合检测(P<0.05);尿沉渣镜检对尿路结石、尿路感染、急性肾炎综合征、肾小球病的诊断率均高于尿液干化分析法(P<0.05),但尿液干化分析法+尿沉渣镜检联合检测对以上疾病诊断率均高于尿沉渣镜检(P<0.05);尿液干化分析法+尿沉渣镜检联合检测对红细胞和白细胞、管形以及蛋白的检测阳性率均高于尿液干化分析法、尿沉渣镜检,且尿沉渣镜检测阳性率均高于尿液干化分析法(P<0.05);尿液干化分析法+尿沉渣镜检联合诊断灵敏度、特异度均高于尿沉渣镜检、尿液干化分析法,且尿沉渣镜检测高于尿液干化分析法(P<0.05)。结论尿液干化分析法和尿沉渣镜检检测在泌尿系统疾病诊断中均具有一定的价值,且具有各自的优缺点。尿液干化分析法操作和确诊时间短,但对泌尿系疾病诊断率以及红细胞和白细胞、管形以及蛋白的检测阳性率低于尿沉渣镜检。而尿液干化分析法和尿沉渣镜检联合检测可提高泌尿系疾病诊断灵敏度、特异度,值得临床加以应用。Objective To study the value of combined detection of urine drying analysis and urinary sediment microscopy in the diagnosis of urinary system diseases.Methods A total of 60 patients with urinary system diseases diagnosed and treated in our hospital from January 2020 to March 2023 were selected as the research objects.Urine bacterial culture was used as the gold standard.All patients were included in urine drying analysis,urine sediment microscopy and urine drying analysis+urine sediment microscopy.The operation time,diagnosis time,diagnostic accuracy of different diseases,and the positive rate of red blood cells and white blood cells,tubular and protein were observed,and the diagnostic efficacy(sensitivity,specificity)of different detection methods for urinary system diseases was analyzed.Results The operation time and diagnosis time of urine drying analysis method were shorter than those of urine sediment microscopy,urine drying analysis method+urine sediment microscopy combined detection,and those of the urine sediment microscopy were shorter than those of combined detection(P<0.05).The diagnostic rate of urinary sediment microscopy for uriary calculi,urinary tract infection,acute nephritis syndrome and glomerular disease was higher than that of urine drying analysis(P<0.05),but the diagnostic rate of urine drying analysis combined with urinary sediment microscopy for the above diseases was higher than that of urine sediment microscopy(P<0.05).The positive rates of red blood cells and white blood cells,tubular and protein in urine drying analysis combined with urine sediment microscopy were higher than those in urine drying analysis and urine sediment microscopy,and the positive rates of urine sediment microscopy were higher than those of urine drying analysis(P<0.05).The sensitivity and specificity of urine dry analysis combined with urine sediment microscopy were higher than those of urine sediment microscopy and urine dry analysis,and those of the urine sediment microscopy were higher than those of urine dr

关 键 词：尿液干化分析 尿沉渣镜检 泌尿系统疾病 

分 类 号：R446[医药卫生—诊断学]