评价骨髓形态检验在难治性贫血与巨幼细胞性贫血鉴别诊断中的价值  

Evaluation of Bone Marrow Morphology Tested in Refractory Anemia With Megaloblastic Anemia Differential Diagnosis Value

作　　者：刘磊[1] 

机构地区：[1]河南省平舆县人民医院检验科,河南平舆463400

出　　处：《中国继续医学教育》2016年第26期54-55,共2页China Continuing Medical Education

摘　　要：目的 探讨骨髓形态检验在难治性贫血与巨幼细胞性贫血鉴别诊断方法及价值。方法 选取2014年12月~2015年12月收治的26例难治性贫血患者作为观察组,26例巨幼细胞性贫血患者作为对照组,对两组患者均采用骨髓形态检验,然后对比观察两组检验结果。结果除巨幼变中幼红细胞胞体大小方面的比较无统计学意义（P〉0.05）,其它方面比较差异具有统计学意义（P〈0.05）。结论 通过骨髓形态检验诊断结果可以看出,在难治性贫血方面要多强调巨核系病态造血,尤其是淋巴样小巨核细胞现象;而在巨幼细胞性贫血方面,则以其巨幼变幼红细胞胞体、核红细胞PAS阳性为观察重点。Objective To investigate the diagnostic value of bone marrow morphology in patients with refractory anemia and giant cell anemia. Methods 26 cases of refractory anemia patients admitted from December 2014 to December 2015 were chosen as the observation group, 26 cases of megaloblastic anemia as a control group, two groups of patients were treated with bone marrow morphology test and compare the two observation group test results. Results There was no significant difference （P〉0.05） in the aspect of the size of the young red cell in addition to the giant baby, the difference was statistically significant （P〈0.05）. Conclusion The bone marrow morphology inspection diagnosis results can be seen in refractory anemia Should emphasize megakaryocytic dysplasia, especially lymphoid micromegakaryocyte phenomenon, in the aspect of megaloblastic anemia, megaloblastic change with its young red blood cell cytoplasm and nuclear red blood cells were PAS positive for the observation point.

关 键 词：骨髓形态检验 难治性贫血 巨幼细胞性贫血 诊断 

分 类 号：R556[医药卫生—血液循环系统疾病]