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[通过尿红细胞相差显微镜检查研究鉴别血尿]

[Differentiation of hematuria by phase contrast microscopy studies of urine erythrocytes].

作者信息

Müller V, Siegel O, Siegel S, Flügel W, Göbel U, Natusch R, Pilz S

机构信息

I. Medizinische Klinik, Hauptlabor des Medizinischen Bereiches I Karl Linser.

出版信息

Z Urol Nephrol. 1989 May;82(5):277-83.

PMID:2665387
Abstract

The results of phase-contrast microscopic investigations of urinary erythrocytes in 300 patients (120 patients with bioptical verified glomerulonephritis, 54 patients suffering from interstitial nephritis, 56 patients with urinary tract diseases and 70 healthy probands) are discussed. The portion of glomerular erythrocytes is dependent on diuresis, renal function and activity of glomerulonephritis. This non-invasive procedure is quick and easy practicable and its results are reliable (sensitivity and specifity of more than 90%). The proof of mainly glomerular erythrocytes save from instrumental and invasive diagnostic procedures in nephrological diseases, whereas non-glomerular erythrocytes may have an urological or hematological origin.

摘要

讨论了对300例患者(120例经活检证实为肾小球肾炎患者、54例间质性肾炎患者、56例泌尿系统疾病患者和70例健康对照者)尿红细胞进行相差显微镜检查的结果。肾小球性红细胞的比例取决于尿量、肾功能和肾小球肾炎的活动程度。这种非侵入性检查方法快速且易于实施,其结果可靠(敏感性和特异性均超过90%)。主要为肾小球性红细胞的证据可避免肾病患者进行器械性和侵入性诊断程序,而非肾小球性红细胞可能源于泌尿系统或血液系统。

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