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针吸活检在骨髓疾病诊断及监测中的应用

Needle aspiration and biopsy in the diagnosis and monitoring of bone marrow diseases.

作者信息

Hodges A, Koury M J

机构信息

Medical service, Veterans Administration Medical Center, Nashville TN, USA.

出版信息

Clin Lab Sci. 1996 Nov-Dec;9(6):349-53.

PMID:10165116
Abstract

OBJECTIVE

To review the procedures required to perform and evaluate needle aspiration and biopsy of bone marrow.

DATA SOURCES

Journal articles, monographs and authors' experience.

DATA SYNTHESIS

The performance of bone marrow needle aspiration and biopsy requires close cooperation between the physician and the clinical laboratory scientist (CLS). Several tests require special handling when obtaining and processing bone marrow samples. Serial bone marrow aspiration and biopsy studies can help in the management of some bone marrow diseases. This article reviews the procedures required to obtain and to process bone marrow aspirates and biopsies. It also reviews the interpretation of light microscopic studies of bone marrow samples.

CONCLUSION

Current procedures for obtaining and procuring bone marrow needle aspirates and biopsies require close interaction between the CLS and the physician. Multiple specialized assays require special handling at the time marrow samples are obtained. Serial bone marrow needle aspirates and biopsies can be very useful in guiding the clinical care of certain patients.

摘要

目的

回顾进行骨髓穿刺和活检及评估所需的程序。

资料来源

期刊文章、专著及作者经验。

资料综合

骨髓穿刺和活检的操作需要医生与临床检验科学家(CLS)密切合作。获取和处理骨髓样本时,多项检测需要特殊处理。系列骨髓穿刺和活检研究有助于某些骨髓疾病的管理。本文回顾了获取和处理骨髓穿刺液及活检样本所需的程序。还回顾了骨髓样本光镜检查结果的解读。

结论

目前获取和采集骨髓穿刺液及活检样本的程序需要CLS与医生密切互动。获取骨髓样本时,多种专门检测需要特殊处理。系列骨髓穿刺和活检对指导某些患者的临床治疗可能非常有用。

相似文献

1
Needle aspiration and biopsy in the diagnosis and monitoring of bone marrow diseases.针吸活检在骨髓疾病诊断及监测中的应用
Clin Lab Sci. 1996 Nov-Dec;9(6):349-53.
2
[Bone marrow puncture].
Dtsch Med Wochenschr. 2006 Oct 27;131(43):2411-3. doi: 10.1055/s-2006-955024.
3
ICSH guidelines for the standardization of bone marrow specimens and reports.国际血液学标准化委员会(ICSH)关于骨髓标本及报告标准化的指南。
Int J Lab Hematol. 2008 Oct;30(5):349-64. doi: 10.1111/j.1751-553X.2008.01100.x.
4
Comparative evaluation of bone marrow aspirate particle smears, imprints and biopsy sections.骨髓穿刺涂片、印片及活检切片的比较评估
J Postgrad Med. 1990 Oct;36(4):194-8.
5
[Diagnostic importance of bone marrow biopsy compared to cytologic test by aspiration].[与骨髓穿刺细胞学检查相比骨髓活检的诊断重要性]
Pathologica. 1988 Jul-Aug;80(1068):409-17.
6
Bone marrow examination: techniques and interpretation.骨髓检查:技术与解读
Hematol Oncol Clin North Am. 1988 Dec;2(4):513-23.
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Bone marrow sampling.骨髓采样。
Am Fam Physician. 1989 Dec;40(6):85-9.
8
Pitfalls in obtaining and interpreting bone marrow aspirates: to err is human.骨髓穿刺获取和解读中的陷阱:人非圣贤,孰能无过。
J Clin Pathol. 2011 May;64(5):373-9. doi: 10.1136/jcp.2010.080820. Epub 2011 Feb 4.
9
Experience with bone marrow trephine biopsy.
J Assoc Physicians India. 1992 Apr;40(4):247-8.
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Bone marrow aspiration before bone marrow core biopsy using the same bone marrow biopsy needle: a good or bad practice?在使用同一根骨髓活检针进行骨髓芯针活检之前先进行骨髓穿刺:这种做法是好是坏?
J Clin Pathol. 2007 Feb;60(2):212-5. doi: 10.1136/jcp.2006.037341. Epub 2006 Jun 2.

引用本文的文献

1
Bone Marrow Aspiration and Biopsy in Critical Pediatric Patients: A Pathologist's Perspective.危重症儿科患者的骨髓穿刺与活检:病理学家的视角
Cureus. 2021 Aug 24;13(8):e17423. doi: 10.7759/cureus.17423. eCollection 2021 Aug.
2
Clinical interest of bone marrow aspiration in rheumatology: a practice-based observational study of 257 bone marrow aspirations.骨髓穿刺在风湿病学中的临床意义:一项基于实践的 257 例骨髓穿刺的观察性研究。
Clin Rheumatol. 2013 Jan;32(1):115-21. doi: 10.1007/s10067-012-2097-y. Epub 2012 Oct 2.
3
A pathologist's perspective on bone marrow aspiration and biopsy: I. Performing a bone marrow examination.
病理学家对骨髓穿刺和活检的看法:I. 进行骨髓检查
J Clin Lab Anal. 2004;18(2):70-90. doi: 10.1002/jcla.20008.