血液细胞形态学镜下复检在血常规检验中的重要性探讨  

Discussion on the Importance of Blood Cell Morphology Reexamination Under Microscope in Routine Blood Examination

作　　者：陈微 CHEN Wei(Laboratory of Microbiology Huludao Central Hospital,Liaoning Province,Liaoning Huludao 125100)

机构地区：[1]辽宁省葫芦岛市中心医院微生物实验室,辽宁葫芦岛125000

出　　处：《中国医疗器械信息》2022年第20期71-73,共3页China Medical Device Information

摘　　要：目的:探讨并分析血液细胞形态学镜下复检在血常规检验中的重要性。方法:选取200份2019年1月~2019年12月经本院检验科检测的血液标本,将结果异常的80份列为观察组,将结果正常的120份列为对照组,对所有标本均行血液细胞形态学镜下复检,对各组检验后假阳性率与假阴性率进行统计并比较。结果:观察组80份标本中,假阳性27份(33.75%),对照组120份标本中,假阴性8份(6.67%),两组差异有统计学意义(P<0.05);所有标本行全自动血液分析仪检测和血液细胞形态学镜下复检后发现,最终有19份(9.50%)结果不相符。结论:在临床检验中,不论血常规检验结果显示是否出现异常情况,均行血液细胞形态学镜下复检,能够及时发现异常血液标本,对提高诊断准确性、制定治疗方案等均有着重要的现实意义。Objective:To explore and analyze the importance of blood cell morphology reexamination under microscope in routine blood test.Methods:Select 200 blood samples that were tested by the laboratory of our hospital from January 2019 to December 2019.80 samples with abnormal results were classified as observation group,120 samples with normal results were classified as control group,and all specimens were okay.The blood cell morphology was reexamined under the microscope,and the false positive rate and false negative rate of each group were counted and compared.Results:Of the 80 specimens in the observation group,27 were false positives(33.75%),and of the 120 specimens in the control group,8 were false negatives(6.67%).The difference between the two groups was statistically significant(P<0.05);All specimens after the automatic blood analyzer test and the blood cell morphology re-examination under the microscope,it was found that 19 results(9.50%)did not match.Conclusion:In clinical testing,regardless of whether there are abnormalities in the results of routine blood tests,reexamination of blood cell morphology is performed under microscope,which can detect abnormal blood samples in time,which is important for improving the accuracy of diagnosis and formulating treatment plans.

关 键 词：血液细胞形态学 镜下复检 血常规检验 全自动血液分析仪 

分 类 号：R446.1[医药卫生—诊断学]