CAJ | 학술논문

目的：评价Sysmex XE-5000血细胞分析仪对异型淋巴细胞和嗜碱性粒细胞的报警提示功能。方法收集Sysmex XE-5000血细胞分析仪同时提示异型淋巴细胞和嗜碱性粒细胞的外周血标本197份，以及单独提示异型淋巴细胞的外周血标本914份，进行显微镜复检，以核实报警提示信息是否正确。结果以显微镜复检结果为金标准，同时提示异型淋巴细胞和嗜碱性粒细胞增多的标本经复检后嗜碱性粒细胞在正常范围内，异型淋巴细胞检出的符合率为64．9％；单独提示异型淋巴增多的标本经复检后符合率为72．5％，前者明显低于后者，差异有统计学意义（P＜0．05）。结论 Sysmex XE-5000血细胞分析仪同时报警提示异型淋巴细胞和嗜碱性粒细胞增多时，两者计数有一定相互干扰，需结合显微镜复检，以降低漏诊和误诊概率。
목적：평개Sysmex XE-5000혈세포분석의대이형림파세포화기감성립세포적보경제시공능。방법수집Sysmex XE-5000혈세포분석의동시제시이형림파세포화기감성립세포적외주혈표본197빈，이급단독제시이형림파세포적외주혈표본914빈，진행현미경복검，이핵실보경제시신식시부정학。결과이현미경복검결과위금표준，동시제시이형림파세포화기감성립세포증다적표본경복검후기감성립세포재정상범위내，이형림파세포검출적부합솔위64．9％；단독제시이형림파증다적표본경복검후부합솔위72．5％，전자명현저우후자，차이유통계학의의（P＜0．05）。결론 Sysmex XE-5000혈세포분석의동시보경제시이형림파세포화기감성립세포증다시，량자계수유일정상호간우，수결합현미경복검，이강저루진화오진개솔。
Objective To evaluate the performance of the Sysmex XE-5000 analyzer for analyzing atypical lymphocytes ,baso-philic granulocytes and their abnormalities warnings .Methods A total of 197 specimens with both atypical lymphocytes and baso-philic granulocytes warnings and 914 specimens with single warning of atypical lymphocytes indicated by Sysmex-5000 blood cell analyzer were collected and inspected by microscope simultaneously .Results Using microscopic examination as a standard ,baso-philic granulocytes within the normal range ,the coincidence rate of samples with both atypical lymphocytes and basophilic granulo-cytes warnings was 64 .9% ,while the coincidence rate of samples with single warning of atypical lymphocytes was 72 .5% .The for-mer was significantly lower than the latter(P<0 .05) .Conclusion When Sysmex XE-5000 indicates atypical lymphocytes and baso-philic granulocytes simultaneously ,there is interference between each other .It should be combined with microscopic examination in order to reduce the probability of missed diagnosis and misdiagnosis .