Abstract:
This study was conducted at Ahmed Gasim hospital, cardiac and renal
transplation center during the period from August 2008 to April
2009.it was aimed to assess the cytomorphological changes .
In this study the cytodiagnostic urinalysis was tested to determine its
diagnostis value among dialysis patients ( case ) and renal failure patients
not on dialysis (control). One hundred and fifty patients with renal failure
and on dialysis were included and evaluated clinically , twenty five renal
failure patients not on dialysis were taken as control. Urine specimens were
macroscopically examined and subjected to a multiparameter reagent-strip
analysis. Papanicolaou stain and MGG stain were done on cytocentrifuge
preparations and the blood cells, renal cells,candida and casts examined in
a standardized fashion.
The study found that the case group of patients on dialysis have reduced the
chance of inflammatory changes 44(29.3%) compared by controls whom
were not on dialysis 13(52%), the inflammatory changes were less common
after dialysis.
Examination of cytological smears revealed no cytological atypia
,
Furthermore, different infectious conditions were detected like candida,
Which was in cases 13(8.7%)and in controls 1(4%). RBCs and Casts were
less frequent in cases compared to controls, in cases RBCs 127(84.7%),
Casts 121(80.7%).In controls RBCs 25(100%), Casts 24(96%).
That means that haemodialysis improves urinary cytomorphlogical picture.
