XE-2100全自动血细胞分析仪分类报警的验证  

The verification of abnormal whole blood cell classification with the Sysmex XE-2100 automated hematology analyzer

作　　者：熊志刚[1] 曾谨忱 

机构地区：[1]四川省医学科学院.四川省人民医院检验科,四川成都610072 [2]成都市双流县妇幼保健院检验科,四川成都610200

出　　处：《实用医院临床杂志》2013年第2期105-106,共2页Practical Journal of Clinical Medicine

摘　　要：目的验证Sysmex XE-2100全自动血细胞分析仪对全血细胞计数及分类异常提示的准确性。方法将XE-2100全自动血细胞分析仪IP信息提示报警的389例样本进行血涂片染色镜检,与仪器法进行比对。结果比对结果变异淋巴细胞(ATYP)、有核红细胞(NRBC)、单核细胞计数减少或增加(M)、未成熟粒细胞(IG)、白细胞计数(WBC)、淋巴细胞计数(L)、小红细胞(MICRO)、大红细胞(MACRO)的灵敏度分别为71.79%、90.91%、78.57%、91.03%、95.00%、96.55%和100.00%;特异性分别为94.29%、98.41%、98.06%、91.03%、99.31%、99.44%和99.13%。结论 XE-2100全自动血细胞分析仪提示的IP信息结合患者标本来源进行人工显微镜检查,能够有效地筛选出真正异常的标本,结合二者的优势,才能为临床提供及时、准确、可靠的实验诊断依据,提高工作效率和减少漏诊、误诊。Objective To verify the accuracy of abnormal warning of the Sysmex XE-2100 automated hematology analyzer for whole blood cell count and classification. Methods Three hundred eighty-nine samples ,which were determined to be abnormal by the analyzer, were stained and optical examined with microscope, and then the results were compared between the two methods. Results The sensitivity（ % ）of microscopic examination for classification of atypical lymphocyte（ATYP） , nucleated red blood cell（ NRBC ） , in- crease or decrease in mononuclear cells （M）, immature granulocyte （IG）, white blood cell count（ WBC）, lymphocyte count （L）, micro- erythrocyte （MICRO） and macro-erythrocyte （ MACRO ） were 71.79,90. 91,78.57,91.03,95. 00,96. 55 and 100. 00, respectively, while the specificity（ % ） were 94. 29,98.41,98.06,91.03,99. 31,99.44 and 99. 13, respectively. Conclusions The microscopic examina- tion based on the IP information provided by the Sysmex XE-2100 and the information of patients can accurately screen positive sam- ples. The combination of the two methods can provide timely, accurate, and reliable laboratory data for the clinicians.

关 键 词：全自动血细胞分析仪 异常细胞 显微镜检查 

分 类 号：R446.08[医药卫生—诊断学]