Imafuku Yuji, Yoshida Hiroshi
Department of Clinical Laboratory Medicine, Fukushima Medical University School of Medicine, Fukushima 960-1247.
Rinsho Byori. 2007 Oct;55(10):936-41.
Preanalytical issues in laboratory medicine have been recognized to be important but not so much effort have been focused to them. Urinalysis is one of the most susceptible examinations to preanalytical issues because urine samples are collected by patients themselves and so is stool examination too. Midstream urine catch is well-known appropriate procedure for many urinalysis. Surface scratching is an appropriate method of stool occult blood testing for colorectal cancer and also strategies to avoid the contact of stool with toilet water is another important technique. We also report a case of abnormal results of creatinine clearance (Ccr) caused by the urine collection apparatus as an example of preanalytical issue.
检验医学中的分析前问题已被认为很重要,但在这些问题上投入的精力并不多。尿液分析是最易受分析前问题影响的检查之一,因为尿液样本由患者自行采集,粪便检查也是如此。中段尿采集是许多尿液分析熟知的合适程序。表面刮取是用于结直肠癌粪便潜血检测的合适方法,并且避免粪便与马桶水接触的策略也是另一项重要技术。我们还报告了一例因尿液采集装置导致肌酐清除率(Ccr)结果异常的病例,作为分析前问题的一个例子。