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尿G1红细胞对肾小球性血尿的诊断价值(1)
http://www.100md.com 2011年3月1日 黄芸 高兵
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     (1华中科技大学同济医学院附属同济医院幼儿园 430030;

    2 华中科技大学同济医学院附属同济医院检验科 430030)

    【摘要】目的:探讨尿液中一种特殊形态的红细胞——G1红细胞对血尿原因鉴别诊断的临床意义。以镜检G1红细胞≥2%,作为肾小球性血尿的诊断标准, 评估其准确性及临床应用价值。方法:研究101例血尿患者, 其中73例为肾小球疾病,28例为非肾小球性疾病。联系镜检结果与病人临床诊断,计算其灵敏度和特异度。结果:以G1细胞≥5%为诊断标准的敏感度为32.88%,特异度为96.43%;以G1细胞≥2%为诊断标准的敏感度为53.43%,特异度为96.43%。结论:以G1红细胞≥2%为诊断标准的特异度很高,敏感度尚可,可以在临床上进行推广。

    【关键词】G1红细胞;血尿;肾小球疾病

    The Value of G1 RedBlood Cell to Diagnose Glomerular Hematuria

    Huangyun1 Gaobing2

    【Abstract】 ObjectiveTo explore the accuracy and clinical value of examining morphology of a special shaped red blood cell –G1 red blood cell in urine by common microscopy in localization of hematuria. The diagnostic standard of glomerular hematuria was G1 red blood cell≥5%. MethodsResearch 101 patients with hematuria patients, 73 cases of glomerular disease, 28 cases with non-glomerular diseases. Contact microscope examination and the patient's clinical diagnosis to calculate the sensitivity and specificity. ResultsThe sensitivity of the diagnostic standard of G1 red blood cell≥5% was 32.88% and the specificity was 96.43%;the sensitivity of the diagnostic standard of G1 red blood cell≥2% was 53.43% and the specificity was 96.43%. ConclusionThe diagnostic standard of G1 red blood cell ≥2% is high specificity, sensitivity is acceptable to promote in the clinical.

    【Key words】G1 red blood cell;Hematuria;Glomerular disease

    【中图分类号】R446.12【文献标识码】A【文章编号】1008-6455(2011)06-0016-02

    血尿的鉴别诊断是临床医生经常遇到的实际问题,而在临床诊疗工作中也常碰到需要鉴别肾小球性血尿与非肾小球性血尿的问题 ......

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