中华检验医学杂志
中華檢驗醫學雜誌
중화검험의학잡지
CHINESE JOURNAL OF LABORATORY MEDICINE
2012年
9期
780-783
,共4页
肾疾病%肾功能衰竭,急性%足细胞%尿分析%尿沉渣%显微镜检查
腎疾病%腎功能衰竭,急性%足細胞%尿分析%尿沉渣%顯微鏡檢查
신질병%신공능쇠갈,급성%족세포%뇨분석%뇨침사%현미경검사
Kidney diseases%Kidney failure,acute%Podocytes%Urinalysis%Urine sediment%Microscopy
自动化仪器检测尿常规具有快速、简便的优点,适于大批量样本筛查.但是尿沉渣显微镜检查仍是尿液检查的标准方法.这项传统的检查方法除作为一般的常规检查外,从初筛血尿来源,到预测肾组织病理增殖性和非增殖性损伤；从应用尿沉渣评分系统鉴别急性肾小管坏死( ATN)和肾前性急性肾损伤(AKI),再到尿足细胞作为肾小球损伤的标志物对肾小球疾病进行定位、鉴别局灶节段性肾小球硬化(FSGS)和微小病变肾病(MCD)等,都有着特殊价值.
自動化儀器檢測尿常規具有快速、簡便的優點,適于大批量樣本篩查.但是尿沉渣顯微鏡檢查仍是尿液檢查的標準方法.這項傳統的檢查方法除作為一般的常規檢查外,從初篩血尿來源,到預測腎組織病理增殖性和非增殖性損傷；從應用尿沉渣評分繫統鑒彆急性腎小管壞死( ATN)和腎前性急性腎損傷(AKI),再到尿足細胞作為腎小毬損傷的標誌物對腎小毬疾病進行定位、鑒彆跼竈節段性腎小毬硬化(FSGS)和微小病變腎病(MCD)等,都有著特殊價值.
자동화의기검측뇨상규구유쾌속、간편적우점,괄우대비량양본사사.단시뇨침사현미경검사잉시뇨액검사적표준방법.저항전통적검사방법제작위일반적상규검사외,종초사혈뇨래원,도예측신조직병리증식성화비증식성손상；종응용뇨침사평분계통감별급성신소관배사( ATN)화신전성급성신손상(AKI),재도뇨족세포작위신소구손상적표지물대신소구질병진행정위、감별국조절단성신소구경화(FSGS)화미소병변신병(MCD)등,도유착특수개치.
Automated urine analysis poses the advantage of rapid turn around time and is suitable for initial screening of large number of samples.However,standardized manual microscopic examination of urine sediment remains valuable for a variety of differential diagnosis,such as screening the potential causes of hematuria,to predict proliferative and non-proliferative renal pathological injury. Urinary sediment scoring system is often used to differentiate acute tubular necrosis (ATN) from pre-renal acute kidney injury (AKI).The urinary podocytes serves as a marker of glomerular injury to determine the location of and to monitor activity of glomerular lesions,as well as to differentiate focal segmental glomerulosclerosis (FSGS) and minimal change disease (MCD).These useful analyses shows the importance of urine microscopy in the clinical practice of nephrology.( Chin J Lab Med,2012,35:780-783)
