小儿血液病骨髓针刺活检临床病理学分析  

A clinicopathological study on the bone marrow biopsy in childhood with blood disorders

作　　者：曹幼甫[1,2] 柴忆欢[1,2] 邓海珍[1,2] 顾永平[1,2] 周映芬 朱玲 王利 

机构地区：[1]苏州医学院病理学教研室 [2]苏州医学院附属儿童医院

出　　处：《临床与实验病理学杂志》1998年第6期555-557,I072,共4页Chinese Journal of Clinical and Experimental Pathology

摘　　要：目的：探讨小儿骨髓活检特点及其病理诊断意义。方法：对比分析３６１例有血液病临床表现的患儿骨髓针刺抽吸涂片和活组织检查结果。结果：比较两种检查方法，在判断增生程度时存在显著差别。活检可以提高再生障碍性贫血、血小板减少性紫癜、骨髓异常增生综合征和转移性恶性肿瘤的诊断率。Purpose To study the characteristics of bone marrow biopsy in children and signifcance of pathological diagnosis. Methods The bone marrow aspirates and biopsies were studied on 361 patients with blood disorders at Suzhou Pediatric Hospital from 1990 to 1997. Results A considerable difference in marrow cellularity was observed between two methods. The diagnosis rates of aplastic anemia, idiopathic thrombocytopoic purpura, myelodysplastic syndrome and metastatic tumor were improved when biopsy were employed. Conclusion The biopsy can provide important evidence in diagnosis of hematological diseases.

关 键 词：儿童 骨髓检查 血液病 针刺活检 

分 类 号：R725.520.4[医药卫生—儿科]