尿分析仪及显微镜检测尿白细胞结果分析.docVIP

尿分析仪及显微镜检测尿白细胞结果分析[摘要] 目的：通过两种方法对尿液中白细胞进行检测，以提高尿液检测的准确度，并找出导致测定误差的因素，以便为更好的临床诊断提供可靠的依据。方法：采用韩国生产的URISCAN S-300尿自动化分析仪和显微镜分别对800例尿液进行检测，并对检测结果进行分析。结果：尿自动化分析仪与镜检所检测的白细胞结果符合率，（-）为60.1%（194/323）；（±）为58.2%（98/168）；（+）为51.3%（68/133）；（++）为47.6%（47/98）；（+++）为40.3%（31/78）。结论：两种方法相结合是提高检测结果准确性的重要保证，应引起广大检验工作者的高度重视。 [关键词] 尿分析仪；显微镜；白细胞 [中图分类号] R446.12 [文献标识码] B [文章编号] 1673-7210（2011）11（a）-106-02 Analysis of urine analyzer and microscope detection in the results of white blood cells of urine JIAN Jianguo1, REN Meiying2 1.Department of Biological Chemistry, Baotou Teachers College, Inner Mongolia University of Science and Technology, Baotou 014030, China; 2.Department of Laboratory, the First Affiliated Hospital of Inner Mongolia University of Science and Technology, Baotou 014010, China [Abstract] Objective: Through the two methods of white blood cells in urine test, in order to improve the accuracy in urine testing, to find out the measure error factor and better provide reliable basis for clinical diagnosis. Methods: The production used South Korea URISCAN S-300 urine analyzer and automation for 800 patients with urine respectively microscope to test, and the detection results were analyzed. Results: The coincidence rate of the urine automation analyzer and the microscope detection on white blood cells, (-) was 60.1% (194/323); (±) was 58.2% (98/168); (+) was 51.3% (68/133); (++) was 47.6% (47/98); (+++) was 40.3% (31/78). Conclusion: The two methods are the key to improve the detection results combined with accuracy, which should arise the high attention of the workers. [Key words] Urine analyzer; Microscope; White blood cells 尿液常规分析是临床检验三大常规之一，是应用最多的检验项目，其组成的变化不仅能反映泌尿生殖系统的病变，而且许多全身性疾病也可引起尿液成分的改变。尿液自动化分析仪的普遍使用，使得尿液分析能在短时间内完成，为临床快速诊断提供了方便，随着医学科学的不断发展及尿分析自动化程序的不断提高，尿液分析的项目和内容亦不断得到丰富和完善，其在临床中的作用和地位显得日益重要和必不可少[1-2]。但由于尿液分析仪和显微镜在检测上存在各自的局限性，以及某些外部因素对尿液检查准确性的影响可造成大量疾病的漏诊和误诊，本文通过尿分析仪和显微镜两种方法对尿液中白细胞的检测结果进行了对比分析，以便更好地为临床诊断提供可靠的依据。 1 材料与方法 1.1 材料 收集包头医学