肾活检病理诊断中电镜检查的应用分析

Application of Electron Microscopy in the Diagnosis for Renal Biopsy

目的对电镜检查在肾活检病例诊断中的应用价值进行分析。方法选取2012年1月~2015年12月我院186肾活检诊断结果,对其进行回顾性分析,将电镜诊断结果同光镜和免疫荧光结果相比较,分析电镜检查在肾活检病例诊断中的必要性。结果在肾活检病例诊断中10种病变共52例,必须进行电镜检查才能明确诊断,3种病变共40例需要做电镜检查加以证实。结论电镜检查在肾活检病理诊断中是必不可少的诊断方法,对避免误诊、漏诊具有重要意义,具有完善肾活检诊断的重要作用。

Objective Value of electron microscopy in the diagnosis of renal biopsy is analyzed. Methods Retrospective analyzed 186 renal biopsy diagnosis from January 2012 to December 2015, the results of electron microscopic diagnosis were compared with light microscope and immune of luorescence results, analysed the necessity of Electron microscopy in the diagnosis of renal biopsy. Results There were 10 kinds of pathological changes in 52 cases in renal biopsy, electron microscopy（sem） examination must be conducted to clear the diagnosis, in addition there were 3 kinds of pathological changes in 40 cases and need to be confirmed by electron microscopic examination. Conclusion Electron microscopy（sem） examination is an essential diagnostic method in renal biopsy pathology diagnosis, is of great significance to avoid misdiagnosis and missed diagnosis, so it has an vital role of renal biopsy diagnosis.