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[相差显微镜在成人血尿病因诊断中的价值。第二部分:尿沉渣中红细胞形态改变因素分析]

[Value of phase-contrast microscopy in the etiological diagnosis of hematuria in adults. Part II: Analysis of factors modifying morphology of erythrocytes in urine sediment].

作者信息

Obroniecka I

机构信息

Kliniki Nefrologii ze Stacja Dializ Instytutu Medycyny Wewnetrznej Centralnego Szpitala Klinicznego WAM.

出版信息

Pol Merkur Lekarski. 1998 Nov;5(29):280-4.

Abstract

In 41 patients with glomerular hematuria diagnosed by renal biopsy no correlation between intensity of tubulo-interstitial changes and range of dysmorphic erythrocytes (E) in phase-contrast microscopy (PCM) was found. However, such correlation existed in the case when acanthocytes in PCM were detected. From factors of potential influence on the morphology of E such as value of proteinuria, glomerular filtration rate, crystalluria, osmolarity and pH of urine, none had any significant role in changing the morphology of E of glomerular as well as of non-glomerular origin.

摘要

在41例经肾活检确诊为肾小球性血尿的患者中,未发现肾小管间质改变的严重程度与相差显微镜(PCM)下畸形红细胞(E)的范围之间存在相关性。然而,当在PCM中检测到棘形红细胞时,这种相关性是存在的。从蛋白尿值、肾小球滤过率、结晶尿、尿液渗透压和pH值等对E形态有潜在影响的因素来看,没有任何一个因素在改变肾小球源性和非肾小球源性E的形态方面具有显著作用。

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