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原血细胞对于儿童急性B淋巴细胞白血病预后判断的价值

王月芳 江咏梅 高举 周平 张鸽

中国当代儿科杂志2016,Vol.18Issue(4):292-296,5.
中国当代儿科杂志2016,Vol.18Issue(4):292-296,5.DOI:10.7499/j.issn.1008-8830.2016.04.002

原血细胞对于儿童急性B淋巴细胞白血病预后判断的价值

Prognostic value of bone marrowhematogones in childhood B-lineage acute lymphoblastic leukemia

王月芳 1江咏梅 1高举 2周平 1张鸽1

作者信息

  • 1. 四川大学华西第二医院检验科,四川 成都 610041
  • 2. 四川大学华西第二医院儿童血液科,四川 成都 610041
  • 折叠

摘要

Abstract

ObjectiveTo study the prognostic value of hematogones (HGs) for childhood B-lineage acute lymphoblastic leukemia (B-ALL) during consolidation chemotherapy.MethodsA retrospective analysis was conducted for 196 children with newly-diagnosed B-ALL. They were divided into high-risk group (n=55), intermediate-risk group (n=69), and low-risk group (n=72) by risk stratiifcation, and into complete remission group (n=165) and relapse group (n=31) by clinical outcome. The European BIOMED-1 standard lfow cytometry for minimal residual disease (MRD) was used to determine the number of HGs during consolidation chemotherapy. The Kaplan-Meier survival curve was used to assess event-free survival (EFS).ResultsThe high-risk group had a signiifcantly lower number of HGs than the intermediate-risk and low-risk groups (P<0.05). The number of HGs in the complete remission group was signiifcantly higher than in the relapse group (P<0.05). The children with HGs ≤1.0% had a signiifcantly lower EFS than those with HGs >1.0% (P<0.05).ConclusionsHGs can be used to assess the treatment outcome and prognosis in children with B-ALL, and proliferation of HGs relfects the good effect of chemotherapy in such children.

关键词

急性B淋巴细胞白血病/流式细胞术/原血细胞/微小残留病/儿童

Key words

B-lineage acute lymphoblastic leukemia/Flow cytometry/Hematogone/Minimal residual disease/Child

引用本文复制引用

王月芳,江咏梅,高举,周平,张鸽..原血细胞对于儿童急性B淋巴细胞白血病预后判断的价值[J].中国当代儿科杂志,2016,18(4):292-296,5.

基金项目

由四川省科技厅基金项目资助,四川省应用基础研究计划项目(2015JY0044)。 ()

中国当代儿科杂志

OA北大核心CSCDCSTPCDMEDLINE

1008-8830

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