中国综合临床
中國綜閤臨床
중국종합림상
CLINICAL MEDICINE OF CHINA
2013年
7期
676-678
,共3页
季美华%陶健%杨其昌%胡忠圣
季美華%陶健%楊其昌%鬍忠聖
계미화%도건%양기창%호충골
外周血涂片%骨髓涂片%骨髓活检%疑难血液病
外週血塗片%骨髓塗片%骨髓活檢%疑難血液病
외주혈도편%골수도편%골수활검%의난혈액병
Peripheral blood smear%Bone marrow smear%Bone marrow biopsy%Stubborn hematonosis
目的 探讨骨髓活检切片、骨髓涂片和外周血涂片在疑难血液病诊断中的意义.方法 对37例临床疑难血液病患者进行外周血采集、骨髓穿刺和骨髓活检,分别观察外周血涂片、骨髓涂片和骨髓活检切片.结果 37例疑难血液病确诊为3例再生障碍性贫血、5例骨髓增生异常综合征、6例原发性骨髓纤维化、13例继发性骨髓纤维化、7例淋巴瘤骨髓浸润、3例骨髓转移癌.在再生障碍性贫血、骨髓增生异常综合征、原发性和继发性骨髓纤维化、淋巴瘤及骨髓转移癌诊断方面,骨髓活检切片优于涂片.结论 骨髓活检切片、骨髓涂片和外周血涂片同步观察能有效提高临床疑难血液病诊断的准确率,减少误诊率,并正确判断疾病的分期.
目的 探討骨髓活檢切片、骨髓塗片和外週血塗片在疑難血液病診斷中的意義.方法 對37例臨床疑難血液病患者進行外週血採集、骨髓穿刺和骨髓活檢,分彆觀察外週血塗片、骨髓塗片和骨髓活檢切片.結果 37例疑難血液病確診為3例再生障礙性貧血、5例骨髓增生異常綜閤徵、6例原髮性骨髓纖維化、13例繼髮性骨髓纖維化、7例淋巴瘤骨髓浸潤、3例骨髓轉移癌.在再生障礙性貧血、骨髓增生異常綜閤徵、原髮性和繼髮性骨髓纖維化、淋巴瘤及骨髓轉移癌診斷方麵,骨髓活檢切片優于塗片.結論 骨髓活檢切片、骨髓塗片和外週血塗片同步觀察能有效提高臨床疑難血液病診斷的準確率,減少誤診率,併正確判斷疾病的分期.
목적 탐토골수활검절편、골수도편화외주혈도편재의난혈액병진단중적의의.방법 대37례림상의난혈액병환자진행외주혈채집、골수천자화골수활검,분별관찰외주혈도편、골수도편화골수활검절편.결과 37례의난혈액병학진위3례재생장애성빈혈、5례골수증생이상종합정、6례원발성골수섬유화、13례계발성골수섬유화、7례림파류골수침윤、3례골수전이암.재재생장애성빈혈、골수증생이상종합정、원발성화계발성골수섬유화、림파류급골수전이암진단방면,골수활검절편우우도편.결론 골수활검절편、골수도편화외주혈도편동보관찰능유효제고림상의난혈액병진단적준학솔,감소오진솔,병정학판단질병적분기.
Objective To investigate the diagnostic significance of synchronous observation on bone marrow biopsy,bone marrow smear and peripheral blood smear in stubborn hematonosis.Methods Thirty-seven patients with difficult and complicated hematologic diseases were detected by peripheral blood smear,bone marrow smear and bone marrow biopsy.Those slides and smears were observed.Results The 37 cases with blood disease was diagnosed of aplastic anemia in 3 cases,5 cases of myelodysplastic syndrome,6 cases of primary myelofibrosis,13 cases of secondary myelofibrosis,7 cases of lymphoma with bone marrow infiltration and 3 cases of metastatic carcinoma of bone marrow.In the diagnosis of aplastic anemia,myelodysplastic syndrome,primary and secondary myelofibrosis,lymphoma and metastatic carcinoma of bone marrow diagnosis,bone marrow biopsy is superior to smear.Conclusion Bone marrow biopsy,bone marrow smear and peripheral blood smear synchronous observation can effectively increase the diagnostic rate,decrease misdiagnosis rate,and correctly identify the stage of the disease.
