骨髓涂片与骨髓活检在多发性骨髓瘤诊断中的应用分析  

Application of Bone Marrow Smear and Bone Marrow Biopsy in the Diagnosis of Multiple Myeloma

作　　者：杨蕤[1] 李萍[1] YANG Rui,LI Ping(Department of Clinical Laboratory, Hubei Province Xianfeng County People＇s Hospital, Xianfeng Hubei 445600, Chin)

机构地区：[1]湖北省咸丰县人民医院检验科,湖北咸丰445600

出　　处：《中国继续医学教育》2018年第17期48-49,共2页China Continuing Medical Education

摘　　要：目的分析骨髓涂片与骨髓活检在多发性骨髓瘤诊断中的应用。方法选择在我院接受治疗的98例多发性骨髓瘤患者为研究对象,对其分别采取骨髓涂片及骨髓活检法进行检查,对比两组检查结果。结果采取骨髓活检法检测异常形态浆细胞检出率、浆细胞浸润度及增生程度明显高于骨髓涂片法,两种方法比较,差异具有统计学意义(P<0.05)。结论采取骨髓活检法可准确反映出浆细胞的增殖模式及浸润程度,对于多发性骨髓瘤具有较高的诊断率,对后期治疗意义重大,值得临床推广应用。Objective To analyze the bone marrow smear and bone marrow biopsy in the diagnosis of multiple myeloma. Methods In our hospital treated 98 cases of multiple myeloma patients were selected for the study, they were taken to their bone marrow smears and bone marrow biopsy to check hair, compared two groups of test results. Results Bone marrow biopsy taken detection method the detection rate of abnormal morphology of plasma cells, plasma cells and the degree of proliferation of bone marrow smears significantly higher, compared two methods, the difference was statistically significant（P﹤0.05）. Conclusion Take a bone marrow biopsy method can accurately reflect the proliferation mode and extent of infiltration of plasma cells, for multiple myeloma has a high diagnostic yield, late treatment is of great significance, worthy of clinical application.

关 键 词：多发性骨髓瘤 骨髓涂片 骨髓活检 诊断 增殖模式 浸润程度 

分 类 号：R733.3[医药卫生—肿瘤]