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[通过同步对比研究评估骨髓活检和涂片检查在全血细胞减少症患者鉴别诊断中的作用]

[Evaluation of bone marrow biopsy and smear examinations in differential diagnosis for patients with pancytopenia by simultaneously compartive study].

作者信息

Lin Jin-Ying, Ren Yong-Wei, Zeng Wei-Ping, Bi Yi-Fang

机构信息

Department of Hematology, People's Hospital of Guangxi Zhuang Autonomous Region, Nanning 530021, China.

出版信息

Zhongguo Shi Yan Xue Ye Xue Za Zhi. 2004 Apr;12(2):228-30.

Abstract

To simultaneously compare and evaluate the examinations of bone marrow smear and trephine biopsy in differential diagnosis and therapeutical effect of pancytopenia patients, the differences between bone marrow smear and trephine biopsy in degree of cellularity, misdiagnosis rate and therapeutical effect for 71 patients with pancytopenia were analyzed. The results showed that the degree of cellularity in bone marrow biopsy for cytologic morphology was higher than that from the smear, but misdiagnosis rate in the biopsy was lower than that in the smear. In conclusion, bone marrow biopsy is necessary to the differential diagnosis and more valuable for evaluation of therapeutical effect and prognosis of pancytopenia patients.

摘要

为同时比较和评估骨髓涂片与骨髓活检在全血细胞减少症患者鉴别诊断及治疗效果方面的检查情况,分析了71例全血细胞减少症患者骨髓涂片与骨髓活检在细胞密度、误诊率及治疗效果方面的差异。结果显示,骨髓活检的细胞形态学细胞密度高于涂片,但活检的误诊率低于涂片。总之,骨髓活检对全血细胞减少症患者的鉴别诊断是必要的,且对评估治疗效果和预后更有价值。

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