重庆医学2011，Vol.40Issue(30)：3037-3038,3041,3.DOI:10.3969/j.issn.1671-8348.2011.30.009
骨髓活检与涂片联检对153例全血细胞减少诊断价值的临床意义
Diagnostic value of bone marrow biopsy and marrow smear in 153 patients with pancytopenia
杨再林 1符刚 1陈洁平 1张勇 1徐双年 1白海雁 1杨丽莎 1黄兴琴 1蒋玲琳1
作者信息
- 1. 第三军医大学西南医院血液病中心,重庆,400038
- 折叠
摘要
Abstract
Objective To investigate the clinical significance of simultaneously detection of bone marrow biopsy and bone marrow smear in the diagnosis of pancytopenia. Methods We took the bone marrow biopsy and aspiration simultaneously in 153 clinical pancytopenia cases. For sections, plastic embedding and Hematein-Giemsa-Fuchsime(HGF) staining were done. For smears,Wright staining was done. Then they were observed under miscopy. Results Age of the 153 clinical cases (67 males and 86 females) ranged from 3 to 83 years. 138 cases of hematological diseases,accounting for 90.2％. The other 15 cases were diagnosed of non-hematologic diseases. The accuracy rate of sections (87. 58％) was higher than that of smears(71. 90％). Total misdiagnostic rate of sections (4.58％) was lower than that of smears (25.36％). As for the evaluation of bone marrow hyperplasia degree,section was also superior to smears. Conclusion Bone marrow biopsy and section method is more objective than smear method for revealing the true condition of the bone marrow, especially in the diagnoses and differential diagnoses of malignant pancytopenia. The combination of these two methods will increase the accuracy rate for the diagnosis of pancytopenia.关键词
全血细胞减少/骨髓检查/活组织检查,针吸Key words
pancytopenia/ bone marrow examination/ biopsy/ needle引用本文复制引用
杨再林,符刚,陈洁平,张勇,徐双年,白海雁,杨丽莎,黄兴琴,蒋玲琳..骨髓活检与涂片联检对153例全血细胞减少诊断价值的临床意义[J].重庆医学,2011,40(30):3037-3038,3041,3.
