Yasui Y, Tatsumi N, Koezuka T, Okamura M, Yamagami S
Department of Internal Medicine, Osaka City General Hospital, Japan.
Osaka City Med J. 1996 Dec;42(2):77-92.
Efficiency of urine sediment analysis was evaluated in 423 specimens including 86 documented renal disorder ones using three methods; a traditional centrifugal and microscopic one, an image-scanning one and a flow cytometric one. Among the three methods, good correlations were observed in white blood cells and epithelial cells. Between white blood cells and bacterial counts a good correlation was observed only in the flow cytometry one. Female specimens usually demonstrated high values in white blood cells except with the microscopic method. Casts in patients with renal disorder exhibited significantly high in the flow cytometric method. In all methods, proteinuria specimens showed high cast count in the sediment. From these results we concluded that the flow cytometric method was clinically useful, especially in urinary tract disorder specimens.
采用三种方法对423份标本(包括86份已确诊的肾脏疾病标本)的尿沉渣分析效率进行了评估;一种传统的离心镜检法、一种图像扫描法和一种流式细胞术法。在这三种方法中,白细胞和上皮细胞之间观察到良好的相关性。白细胞和细菌计数之间仅在流式细胞术法中观察到良好的相关性。除镜检法外,女性标本的白细胞通常显示出较高的值。肾脏疾病患者的管型在流式细胞术法中显著升高。在所有方法中,蛋白尿标本的沉渣中管型计数较高。从这些结果我们得出结论,流式细胞术法在临床上是有用的,特别是在尿路疾病标本中。