尿红细胞形态学分析及其诊断肾小球性血尿的价值

Urinary erythrocyte morphology analysis and its value in the diagnosis of glomerular hematuria

尿红细胞形态学分析具有简便实用、无创可靠的特点,是临床鉴别血尿来源最常用的检查方法。在诊断肾小球性血尿方面,由于该方法的局限性和诸多干扰因素(如尿比重、尿pH以及利尿剂治疗等)影响,存在假阴性结果。尿红细胞形态学分析联合其他具有血尿定位价值的方法或指标综合评判,可以减少临床误诊与漏诊。

Urinary erythrocyte morphology（UEM） analysis is the most commonly used clinical examination method to identify the sources of hematuria,with characteristics of being simple, practical, reliable and noninvasive. Because of the limitations of the method itself and some interference factors （such as urine specific gravity, urine pH and diuretic therapy, etc.）, there may be false negative results in the diagnosis of glomerular hematuria with UEM. UEM analysis combined with other hematuria positioning method or indicators could reduce the rate of misdiagnosis and missed diagnosis in clinical work.