尿道查的UF-5000 Atyp.C参数:检测非典型细胞和包含性细胞的影响
Yuki Fujiwara1, Yuzuru Takei2, Hiroto Nakazawa2
1Department of Integrative Physiology, Graduate School of Medicine, Gunma University, Maebashi, Japan.
Practical laboratory medicine
|January 22, 2026
概括
在UF-5000分析仪.
科学领域:
- 临床化学和尿液分析.
- 诊断细胞学.
- 医学实验室技术.
背景情况:
- 尿沉积物检查对于检测异常泌尿道细胞至关重要,但取决于操作者.
- 自动化尿液分析仪提供细胞组件的客观量化.
- UF-5000的非典型细胞 (Atyp.C) 参数量化了富含核酸的粒子.
研究的目的:
- 评估UF-5000的Atyp.C参数与非典型泌尿道细胞和细胞内含细胞 (ICIB) 的存在之间的关系.
- 评估Atyp.C参数的查性能,以检测这些异常细胞.
主要方法:
- 使用UF-5000自动化尿液分析仪分析了264个尿样.
- 通过手动显微镜识别了非典型和ICIB阳性细胞.
- 通过ROC分析和灵敏度/特异性计算,对不同组的Atyp.C值进行比较,并评估诊断性能.
主要成果:
- 在对非典型细胞阳性的样本中,atyp.C值显著更高 (p < 0.001).
- 在非典型细胞和ICIB阳性之间观察到适度的一致性 (科恩 κ = 0.534).
- 当包括ICIB阳性样本时,ROC分析显示AUC为0.895,截止值为0.3细胞/μL,提供最佳灵敏度 (85.2%) 和特异性 (68.2%).
结论:
- UF-5000 Atyp.C参数有效检测核酸含量增加的细胞,包括非典型和ICIB阳性细胞.
- 将ICIB纳入诊断标准提高了查的敏感性,使Atyp.C成为一种有价值的尿液分析工具.
- 将自动化分析与手动显微镜相结合,可以提高非典型细胞检测的效率.
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