中外医学研究
中外醫學研究
중외의학연구
CHINESE AND FOREIGN MEDICAL RESEARCH
2014年
10期
68-68,69
,共2页
人工显微镜镜检%科宝XS尿液有形成分分析仪%尿沉渣
人工顯微鏡鏡檢%科寶XS尿液有形成分分析儀%尿沉渣
인공현미경경검%과보XS뇨액유형성분분석의%뇨침사
Artificial microscopy%Copal XS urine physical composition analyzer%Urinary sediment
目的：通过对科宝XS尿液有形成分分析仪分析后的尿液标本进行人工显微镜镜检，以评价尿液有形成分分析仪分析结果的准确性。方法：收集2013年10月份以来笔者所在医院门诊和住院患者1500例新鲜尿液用科宝XS尿液有形成分分析仪分析尿沉渣，同时使用显微镜镜检对比分析。结果：在1500例样本中，血尿样本46例，显微镜下RBC满视野，仪器未分辨出或部分分辨RBC 36例，RBC分辨成真菌40例；脓尿样本，显微镜下WBC满视野而仪器分辨不完全38例，重叠WBC仪器误认为病理性管型5例；浑浊尿样显微镜检查为非晶型尿酸盐，仪器误报管型68例；仪器误将粘液丝报为管型165例，将真菌误报成RBC 1例。当尿样中RBC及WBC浓度较低时，显微镜镜检法检测不到RBC及WBC，但仪器分析法常有轻度增高而干化学白细胞脂酶及隐血阳性。结论：科宝XS尿液有形成分分析对低浓度的RBC、WBC及上皮细胞计数准确，灵敏性较高，适合用于大批量标本过筛检查，但对高浓度的RBC、WBC，浑浊标本计数不准确，RBC与酵母菌及粘液丝与管型难于区分，需显微镜镜检而作出正确评估。
目的：通過對科寶XS尿液有形成分分析儀分析後的尿液標本進行人工顯微鏡鏡檢，以評價尿液有形成分分析儀分析結果的準確性。方法：收集2013年10月份以來筆者所在醫院門診和住院患者1500例新鮮尿液用科寶XS尿液有形成分分析儀分析尿沉渣，同時使用顯微鏡鏡檢對比分析。結果：在1500例樣本中，血尿樣本46例，顯微鏡下RBC滿視野，儀器未分辨齣或部分分辨RBC 36例，RBC分辨成真菌40例；膿尿樣本，顯微鏡下WBC滿視野而儀器分辨不完全38例，重疊WBC儀器誤認為病理性管型5例；渾濁尿樣顯微鏡檢查為非晶型尿痠鹽，儀器誤報管型68例；儀器誤將粘液絲報為管型165例，將真菌誤報成RBC 1例。噹尿樣中RBC及WBC濃度較低時，顯微鏡鏡檢法檢測不到RBC及WBC，但儀器分析法常有輕度增高而榦化學白細胞脂酶及隱血暘性。結論：科寶XS尿液有形成分分析對低濃度的RBC、WBC及上皮細胞計數準確，靈敏性較高，適閤用于大批量標本過篩檢查，但對高濃度的RBC、WBC，渾濁標本計數不準確，RBC與酵母菌及粘液絲與管型難于區分，需顯微鏡鏡檢而作齣正確評估。
목적：통과대과보XS뇨액유형성분분석의분석후적뇨액표본진행인공현미경경검，이평개뇨액유형성분분석의분석결과적준학성。방법：수집2013년10월빈이래필자소재의원문진화주원환자1500례신선뇨액용과보XS뇨액유형성분분석의분석뇨침사，동시사용현미경경검대비분석。결과：재1500례양본중，혈뇨양본46례，현미경하RBC만시야，의기미분변출혹부분분변RBC 36례，RBC분변성진균40례；농뇨양본，현미경하WBC만시야이의기분변불완전38례，중첩WBC의기오인위병이성관형5례；혼탁뇨양현미경검사위비정형뇨산염，의기오보관형68례；의기오장점액사보위관형165례，장진균오보성RBC 1례。당뇨양중RBC급WBC농도교저시，현미경경검법검측불도RBC급WBC，단의기분석법상유경도증고이간화학백세포지매급은혈양성。결론：과보XS뇨액유형성분분석대저농도적RBC、WBC급상피세포계수준학，령민성교고，괄합용우대비량표본과사검사，단대고농도적RBC、WBC，혼탁표본계수불준학，RBC여효모균급점액사여관형난우구분，수현미경경검이작출정학평고。
Objective:To evaluate the accuracy of the urine physical composition analyzer results through artificial microscopic examination for urine samples analyzed by Copal XS urine physical composition analyzer.Method:A total of 1500 fresh urine samples of hospital outpatients and inpatients since October 2013 were collected,and Copal XS urine physical composition analyzer was used to analyze urine sediment,and microscopic examination was used to compare the results at the same time.Result:In 1500 samples there were 46 samples with hematemesis,and RBC were full in field vision of the microscope,and RBC were not distinguished or distinguished parts in 36 cases,and RBC were distinguished as fungal in 40 cases.In pyuria samples,WBC were full in field vision of the microscope or not distinguished completely in 38 samples,and overlapping WBC were known as pathological type in 5 cases.Turbid urine was amorphous type uric acid salt by microscopy examination,and there were 68 samples with instrument misstatement tube type.The viscose silks were incorrectly reported as tube type by instrument in 165 samples,and fungus was incorrectly reported as RBC in 1 sample.When urine concentration of RBC and WBC were low,RBC and WBC were not detected by the microscope method,but the instrument analysis was often had mild increases and dry white fine chemistry leucocyte lipase and occult blood were positive.Conclusion:Copal XS urine physical composition analyzer has count accurate in RBC,WBC and epithelial cell with low concentration,and it has high sensitivity and is suitable for large specimens to screening,but the high concentration of RBC,WBC,and turbid specimens would count inaccurately,and RBC,yeast,viscose silk and tube type are difficult to distinguish,and its need microscope to make the right evaluation.
