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首页> 外文期刊>Acta Cytologica: The Journal of Clinical Cytology and Cytopathology >The role of urine cytology for 'decoy cells' as a screening tool in renal transplant recipients
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The role of urine cytology for 'decoy cells' as a screening tool in renal transplant recipients

机译:尿液细胞学对“诱饵细胞”作为肾移植受者筛查工具的作用

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Objective: To determine the role of urine cytology for 'decoy cells' as a screening tool for polyomavirus type BK (BKV) infection in renal transplant recipients. Study Design: This was a prospective cohort study of patients undergoing renal transplantation between 2006 and 2010. Results: A total of 442 patients underwent urine cytology for decoy cells, 27.8% underwent 1 examination only and 72.2% more than one. Of the 1,713 examinations reviewed, 426 (24.9%) were positive and 785 (45.8%) were negative for 'decoy' cells, 380 (22.2%) showed degenerated tubular cells and 122 (7.1%) were unsatisfactory for analysis. Urine cytology was found to have a specificity of 68.5%, a sensitivity of 84.6%, a positive predictive value of 21.2%, a negative predictive value of 97.8% and an overall accuracy of 69.9%. The incidence of polyomavirus nephropathy among the patients investigated was 11.8%. Of the 442 patients, 32 (7.2%) had graft loss, which was attributed to BKV nephropathy in 2 (6.2% of the 32). Conclusions: Urine cytology is an effective screening method for monitoring renal transplant patients, with high sensitivity and a high negative predictive value, and can therefore be used routinely in the follow-up of renal transplant patients.
机译:目的:确定尿液细胞学在“诱饵细胞”中作为肾移植受者多瘤病毒BK型感染的筛查工具的作用。研究设计:这是一项对2006年至2010年间接受肾移植的患者进行的前瞻性队列研究。结果:共有442例接受了诱饵细胞尿液细胞学检查的患者,其中27.8%仅接受了一次检查,而多于72.2%。在审查的1,713项检查中,“诱饵”细胞阳性426例(24.9%),阴性785例(45.8%),退化的肾小管细胞380例(22.2%),分析不满意,有122例(7.1%)。尿液细胞学检查的特异性为68.5%,敏感性为84.6%,阳性预测值为21.2%,阴性预测值为97.8%,总准确度为69.9%。在所调查的患者中,多瘤病毒肾病的发生率为11.8%。在这442例患者中,有32例(7.2%)发生了移植物丢失,这归因于2例(32例中的6.2%)的BKV肾病。结论:尿液细胞学检查是监测肾移植患者的有效方法,具有较高的敏感性和较高的阴性预测价值,因此可常规用于肾移植患者的随访。

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