用骨髓小粒拉片提高骨髓形态学诊断水平

目的：探讨骨髓抽吸液小粒拉片（简称拉片法）进行骨髓形态学检查的应用价值，探索适合拉片法的增生程度判断标准。方法：对2004年9～10月中旬我院同期同部位骨髓组织活检（简称活检）及拉片的123例病人，从增生程度及异常细胞的判断、全血细胞减少诊断等方面，以组织活检为参考标准进行对照。结果：用活检标准判断拉片增生程度，Kappa值为0．80，与活检增生程度比锿有较好的一致性。拉片法对全血细胞减少等的诊断也较为可靠。结论：用拉片进行骨髓形态学检查简单可靠，值得推广。

Improve Morphological Diagnosis Level by Frangments Smear

Objective:To explore the role of frangments smear and its cellularty standard.Methods:123 cases were collected,Both frangments smear and biospy were got at the same time,And compareing their cellularty grades and ability to find abnormal cell.Result:There were no significant differences between marrow particals and abnormal cell.Conclusion:Method of frangments smear was simple and especially fit for clinical use.