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尿沉渣评估的一种更新方法。

An updated approach to the evaluation of the urinary sediment.

作者信息

Fogazzi Giovanni B, Garigali Giuseppe, Abinti Matteo, Lieti Giulia, Verdesca Simona

机构信息

Clinical and Research Laboratory On Urinary Sediment, SC Di Nefrologia, Dialisi e Trapianto Di Rene, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy.

SC Di Nefrologia, Dialisi e Trapianto Di Rene, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy.

出版信息

Pediatr Nephrol. 2025 Apr;40(4):933-945. doi: 10.1007/s00467-024-06545-9. Epub 2024 Oct 8.

DOI:10.1007/s00467-024-06545-9
PMID:39377940
Abstract

Examination of the urinary sediment (U-sed) is an important non-invasive, rapid, and inexpensive tool for the diagnosis and surveillance over time of renal diseases. In this Educational Review, we describe first how to collect, prepare, and examine urine samples in order to obtain reliable results. Then, we describe the U-sed findings in isolated microscopic hematuria, glomerular diseases, acute interstitial nephritis, acute kidney injury, reactivation of the BK virus in kidney transplant recipients, and crystalluric genetic diseases.

摘要

尿沉渣检查(U-sed)是一种重要的非侵入性、快速且经济的工具,用于肾脏疾病的诊断和长期监测。在这篇教育综述中,我们首先描述如何采集、制备和检查尿液样本,以获得可靠的结果。然后,我们描述孤立性镜下血尿、肾小球疾病、急性间质性肾炎、急性肾损伤、肾移植受者BK病毒再激活以及结晶性遗传性疾病中的尿沉渣检查结果。

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An updated approach to the evaluation of the urinary sediment.尿沉渣评估的一种更新方法。
Pediatr Nephrol. 2025 Apr;40(4):933-945. doi: 10.1007/s00467-024-06545-9. Epub 2024 Oct 8.
2
[The red urine].[红色尿液]
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[Urine Examination - Step by Step].[尿液检查 - 逐步指导]
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[Diagnosis of hematuria from red blood cells in urinary sediment].[通过尿沉渣中的红细胞诊断血尿]
Rinsho Byori. 2014 Jul;62(7):674-83.
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Glomerular isolated microscopic hematuria: urinary features and long term follow-up of a selected cohort of patients.肾小球性孤立性镜下血尿:一组特定患者队列的尿液特征和长期随访结果。
J Nephrol. 2019 Apr;32(2):253-258. doi: 10.1007/s40620-018-0560-9. Epub 2018 Dec 10.
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Nephrol Dial Transplant. 2025 Aug 29;40(9):1688-1697. doi: 10.1093/ndt/gfaf035.

本文引用的文献

1
The Second International Consensus Guidelines on the Management of BK Polyomavirus in Kidney Transplantation.《肾移植中 BK 多瘤病毒管理的第二届国际共识指南》。
Transplantation. 2024 Sep 1;108(9):1834-1866. doi: 10.1097/TP.0000000000004976. Epub 2024 Apr 12.
2
Diagnosing Etiology by Urine Microscopy in Sudden Spurt of Acute Kidney Injury Cases: Going Back to the Basics.通过尿液显微镜检查诊断急性肾损伤病例突然激增的病因:回归基础
Kidney Int Rep. 2023 Jun 10;8(8):1696-1697. doi: 10.1016/j.ekir.2023.06.006. eCollection 2023 Aug.
3
Clinical practice recommendations for primary hyperoxaluria: an expert consensus statement from ERKNet and OxalEurope.
原发性高草酸尿症临床实践建议:来自欧洲罕见肾脏病网络(ERKNet)和欧洲草酸尿症协会(OxalEurope)的专家共识声明
Nat Rev Nephrol. 2023 Mar;19(3):194-211. doi: 10.1038/s41581-022-00661-1. Epub 2023 Jan 5.
4
Acute Interstitial Nephritis in the Pediatric Population: A Review of Etiologic Associations, Histologic Findings, and Clinical Outcome.儿科人群中的急性间质性肾炎:病因关联、组织学发现及临床结局综述
Pediatr Dev Pathol. 2023 Jan-Feb;26(1):13-17. doi: 10.1177/10935266221139663. Epub 2022 Dec 14.
5
Paediatric rhabdomyolysis: A UK centre's 10-year retrospective experience.儿童横纹肌溶解症:英国一家中心的10年回顾性经验
J Paediatr Child Health. 2023 Feb;59(2):346-351. doi: 10.1111/jpc.16303. Epub 2022 Dec 12.
6
Improving clinical performance of urine sediment analysis by implementation of intelligent verification criteria.通过实施智能验证标准提高尿沉渣分析的临床性能。
Clin Chem Lab Med. 2022 Sep 8;60(11):1772-1779. doi: 10.1515/cclm-2022-0617. Print 2022 Oct 26.
7
Glomerular Hematuria and the Utility of Urine Microscopy: A Review.肾小球性血尿及尿沉渣镜检的应用:综述
Am J Kidney Dis. 2022 Sep;80(3):383-392. doi: 10.1053/j.ajkd.2022.02.022. Epub 2022 Jun 29.
8
Urine Sediment Exam Provides More Diagnostic Information in AKI than Novel Urinary Biomarkers: COMMENTARY.尿沉渣检查在急性肾损伤中比新型尿生物标志物提供更多诊断信息:评论
Kidney360. 2021 Sep 9;3(4):604-607. doi: 10.34067/KID.0005562021. eCollection 2022 Apr 28.
9
Differences and similarities of proliferative and non-proliferative forms of biopsy-proven lupus nephritis: Single centre, cross-disciplinary experience.经活检证实的狼疮肾炎增殖性和非增殖性形式的差异和相似之处:单中心、跨学科经验。
Lupus. 2022 Aug;31(9):1147-1156. doi: 10.1177/09612033221106305. Epub 2022 Jun 3.
10
Misidentification of epithelial renal tubular cells as decoy cells in the urinary sediment of a kidney transplant recipient: the importance of adequate clinical information.移植肾受者尿沉渣中上皮性肾管状细胞被误认为是诱饵细胞:充分的临床信息的重要性。
Clin Chim Acta. 2022 Jun 1;531:273-276. doi: 10.1016/j.cca.2022.04.015. Epub 2022 Apr 22.