Schramek P, Schuster F X
Urologe A. 1985 Jul;24(4):216-20.
Evaluation of erythrocyte morphology enables differentiation between renal-parenchymatous and postrenal microhematuria. In case of renal erythrocyturia, further examination is carried out with a nephrologist following abridged urologic examination. If the erythrocytes in the urinary sediment are established as being unchanged (postrenal cause of bleeding), a complete urological check is carried out. Today, renal-parenchymatous erythrocyturia can be established with great certainty without a kidney biopsy.
评估红细胞形态有助于区分肾实质性和肾后性镜下血尿。对于肾性红细胞尿,在进行简略的泌尿外科检查后,由肾病科医生进行进一步检查。如果尿沉渣中的红细胞被确定为形态正常(肾后性出血原因),则需进行全面的泌尿外科检查。如今,无需进行肾活检就能非常确定地诊断肾实质性红细胞尿。