372例骨髓细胞形态学诊断结果分析  

Analysis on 372 cases of bone marrow cell morphology diagnosis results

作　　者：刘广印[1] 张丽霞[1] 李荣利[1] 孙峰[1] 

机构地区：[1]安徽省亳州市人民医院检验科,安徽亳州236800

出　　处：《国际检验医学杂志》2015年第5期657-658,661,共3页International Journal of Laboratory Medicine

摘　　要：目的研究骨髓细胞形态学结果分布特点及在血液病病因诊断中的作用,了解该地区血液病疾病谱特征。方法2012年3月至2014年4月该院372例血液病患者的骨髓穿刺标本进行瑞姬氏染色和化学染色,显微镜观察细胞形态和化学染色结果,并结合相关临床资料得出形态学报告。结果372例患者确诊为血液系统疾病368例,以白血病(95/372)、增生性贫血(36/372)和缺铁性贫血(26/372)为3种主要类型。82例贫血患者类型分析,以增生性贫血(36/82)、缺铁性贫血(26/82)和巨幼细胞性贫血(11/82)为主。结论骨髓细胞形态学检查是血液系统疾病病因诊断的重要手段之一,对疾病谱的分析有助于指导临床诊治。Objective To investigate the distribution characteristics of bone marrow（BM）cell morphological results and their role in the etiological diagnosis of blood diseases,and to understand the characteristics of hematological diseases spectrum in this area.Methods The BM puncture specimens in 372 cases of hematological diseases in our hospital from March 2012 to April 2014 were performed the Wright-Giemsa staining and cytochemical staining.The cell morphology and cytochemical staining were observed by microscope,which was combined with the related clinical data for obtaining the morphological report.Results Among372 cases,368cases were diagnosed with hematological diseases,which were dominated by 3kinds of main type,leukemia（95/372）,hyperplasia anemia（36/372）and iron-deficiency anemia（26/372）.In 82 cases of anemia,hyperplasia anemia（36/82）,iron-deficiency anemia（26/82）and megaloblastic anemia（11/82）were predominant.Conclusion The BM morphological examination is one of important measures for the etiological diagnosis in hematological diseases.The analysis on the diseases spectrum is conducive to guide the diagnosis and treatment in clinic.

关 键 词：白血病 骨髓检查 细胞诊断学 贫血 

分 类 号：R446.11[医药卫生—诊断学] R55[医药卫生—临床医学]