[1]李建柱.尿沉渣检验在泌尿系统疾病诊断中的临床意义分析[J].医学信息,2018,31(17):160-162.[doi:10.3969/j.issn.1006-1959.2018.17.051]
　LI Jian-zhu.Clinical Significance of Urine Sediment Ttest in the Diagnosis of Urinary System Diseases[J].Journal of Medical Information,2018,31(17):160-162.[doi:10.3969/j.issn.1006-1959.2018.17.051]
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尿沉渣检验在泌尿系统疾病诊断中的临床意义分析()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
31卷
期数:
2018年17期
页码:
160-162
栏目:
诊疗技术
出版日期:
2018-09-01

文章信息/Info

Title:
Clinical Significance of Urine Sediment Ttest in the Diagnosis of Urinary System Diseases
文章编号:
1006-1959（2018）17-0160-03
作者:
李建柱
天津医科大学第二医院检验科，天津 300210
Author(s):
LI Jian-zhu
Department of Clinical Laboratory,the Second Hospital of Tianjin Medical University,Tianjin 300210,China
关键词:
泌尿系统疾病; 尿沉渣检验; 显微镜
Keywords:
Key words：Urinary system disease; Urine sediment test; Microscope
分类号:
R446.12；R69
DOI:
10.3969/j.issn.1006-1959.2018.17.051
文献标志码:
A
摘要:
目的 分析尿沉渣检验在泌尿系统疾病诊断中的临床意义。方法 选取我院2016年5月~2017年9月100例疑似泌尿系统疾病患者，采用全自动尿沉渣分析仪行尿沉渣检验，同时采用显微镜观察，以显微镜观察结果作为金标准，对比两种检查诊断方式的效果。结果 本组100例患者中，肉眼血尿阳性率为4.00%，尿糖阳性率为15.00%，尿液脱落细胞异常阳性率为11.00%；与显微镜检查结果相比，尿沉渣检验红细胞阳性47例，准确率为88.33%，假阳性率为11.67%；白细胞阳性标本65例，检验准确率为83.33%，假阳性率为16.67%；管型阳性标本39例，准确率为83.56%，假阳性率为16.43%。结论 尿沉渣检验泌尿系统疾病，准确度较高，诊断价值明显，但是存在一定假阳性现象，应对尿沉渣检验进行规范，必要时配合镜检结果，对患者病情做出更为准确的判断。
Abstract:
Abstract：Objective To analyze the clinical significance of urine sediment test in the diagnosis of urinary system diseases.Methods 100 patients with suspected urinary system diseases were selected from May 2016 to September 2017 in our hospital.The urine sediment test was carried out by automatic urine sediment analyzer.Microscopic observation was used.Microscopic observation was used as the gold standard.Compare the effects of the two diagnostic methods.Results Among the 100 patients in this group,the positive rate of gross hematuria was 4.00%,the positive rate of urine glucose was 15.00%,and the abnormal rate of exfoliated cells in urine was 11.00%.Compared with the results of microscopy,47 cases of red blood cells were positive for urine sediment test.The accuracy rate was 88.33%,the false positive rate was 11.67%,the white blood cell positive specimen was 65 cases,the test accuracy rate was 83.33%,the false positive rate was 16.67%,and the tube type positive specimen was 39 cases,the accuracy rate was 83.56%, and the false positive rate was 16.43%.Conclusion Urinary sediment test for urinary system disease has high accuracy and obvious diagnostic value,but there is a certain false positive phenomenon.The urine sediment test should be standardized.If necessary,the results of the microscopic examination should be used to make a more accurate judgment on the patient's condition.

参考文献/References:

[1]陈岩.尿常规应用干化学法与尿沉渣检验的效果分析[J].中国医药指南,2018,16(02):14-15. [2]汤发艳.尿标本的采集时间对尿沉渣检验结果产生的影响研究[J].世界最新医学信息文摘,2017,17(98):124-125. [3]马芝金.用全自动尿沉渣分析仪进行尿沉渣检验的作用分析[J].中国医疗器械信息,2017,23(22):35-36. [4]张银辉,谌晓燕,王霓,等.尿液检验中的尿常规与尿沉渣关联性分析[J].医学信息,2015,28(21):300. [5]赵雅玲,张宇,王旻.尿沉渣与尿常规检验结果的相关性研究[J].中国地方病防治杂志,2016,31(07):831-832. [6]任志勇.泌尿系感染30例尿沉渣检验分析[J].基层医学论坛,2014,18(11):1433-1434.

更新日期/Last Update: 2018-09-01