Shukuya Kenichi
Rinsho Byori. 2014 Nov;62(11):1098-101.
Morphological examinations for renal disease are mainly renal biopsy and urine sediment tests. Biopsy specimens are now evaluated in detail, and test items are evaluated as highly sensitive and specific compared with urine sediments, which reflect renal changes indirectly and are low in sensitivity and specificity. On the other hand, the standardization of urine sediment tests is now in progress, and some labs can provide sediment results beyond screening for distracted RBC, differential WBC, or atypical cells. The diagnostic importance of sediments is revisited.
肾脏疾病的形态学检查主要是肾活检和尿沉渣检查。目前对活检标本进行详细评估，与尿沉渣相比，尿沉渣检查项目被认为具有高敏感性和特异性，尿沉渣间接反映肾脏变化，其敏感性和特异性较低。另一方面，尿沉渣检查的标准化工作正在进行中，一些实验室能够提供除筛查变形红细胞、鉴别白细胞或非典型细胞之外的沉渣结果。人们重新审视了沉渣的诊断重要性。
