| 骨髓异常增生综合征骨髓涂片检查误诊分析 |
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| 引用本文： | 李云.骨髓异常增生综合征骨髓涂片检查误诊分析[J].蚌埠医学院学报,2005,30(6):557-558. |
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| 作者姓名： | 李云 |
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| 作者单位： | 安徽省淮南市第二矿工医院检验科, 232052 |
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| 摘 要： | 目的: 分析骨髓异常增生综合征(myelodysplastic syndrome,MDS)骨髓涂片检查误诊原因。方法: 对1992年2月~2003年12月我院误诊MDS47例骨髓涂片进行回顾性分析。结果: 难治性贫血误诊率最高达89.3%,主要误诊病种为增生性贫血、慢性再生障碍性贫血、巨幼红细胞性贫血、急性白血病等。结论: MDS诊断较为困难,应仔细结合病史、骨髓活检及细胞遗传学检查才能作出正确诊断。
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| 关 键 词： | 骨髓异常增生综合征 骨髓检查 误诊 |
| 文章编号： | 1000-2200（2005）06-0557-02 |
| 收稿时间： | 2005-02-08 |
| 修稿时间： | 2005年2月8日 |
Analysis of misdiagnosis of myelodysplastic syndrome by bone marrow smears |
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| LI Yun.Analysis of misdiagnosis of myelodysplastic syndrome by bone marrow smears[J].Journal of Bengbu Medical College,2005,30(6):557-558. |
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| Authors: | LI Yun |
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| Institution: | Department of Clinical Laboratories, Huainan Second Miner's Hospital, Huainan 232052, China |
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| Abstract: | Objective:To analyze the causes of misdiagnosis of myelodysplastic syndrome(MDS) by bone marrow smears.Methods:Forty-seven patients with MDS misdiagnosed by bone marrow smears from February 1992 to December 2003 were analyzed retrospectively.Results:The misdiagnosis rate of refractory anemia(RA) reached 89.3 %.The major misdiagnosed diseases were proliferous anemia(PA),chronic aplastic anemia(CAA),megaloblastic anemia(MA) and acute leukemia(AL).Conclusions:The diagnosis of MDS is relative difficult and correct diagnosis can be made by means of analysis of the patients' medical history,bone marrow biopsy and cytogenetics. |
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| Keywords: | myelodysplastic syndrome bone marrow examination diagnostic errors |
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