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69例恶性淋巴瘤骨髓侵犯后骨髓象与血象分析
引用本文:钟礼瀑,吴青青,邹学森. 69例恶性淋巴瘤骨髓侵犯后骨髓象与血象分析[J]. 实用肿瘤学杂志, 2004, 18(5): 327-329
作者姓名:钟礼瀑  吴青青  邹学森
作者单位:江西省肿瘤医院检验科,南昌,330029
摘    要:目的了解恶性淋巴瘤骨髓侵犯后骨髓与外周血白细胞之间的关系.方法对69例恶性淋巴瘤具有骨髓侵犯的骨髓细胞分类及外周血白细胞检验结果作回顾性分析.结果 69例恶性淋巴瘤骨髓侵犯者外周血白细胞计数异常33例,分类计数异常35例,骨髓增生正常者19例,增生异常者50例.结论当恶性淋巴瘤发展到骨髓侵犯或淋巴瘤细胞白血病时,外周血白细胞计数和分类计数与骨髓象之间没有绝对的对应关系,但如明确诊断为恶性淋巴瘤时则应把骨髓涂片细胞形态学列为常规检查,如其外周血白细胞形态出现异常,则应高度怀疑有淋巴瘤细胞白血病.

关 键 词:淋巴瘤  非霍奇金淋巴瘤  骨髓细胞  
修稿时间:2004-06-03

The analysis of bone marrow smear and peripheral blood leucocyte test in 69 cases malignant lymphoma with bone marrow involvement
ZHONG Lipu,WU Qingqing,ZOU Xuesen. The analysis of bone marrow smear and peripheral blood leucocyte test in 69 cases malignant lymphoma with bone marrow involvement[J]. Journal of Practical Oncology, 2004, 18(5): 327-329
Authors:ZHONG Lipu  WU Qingqing  ZOU Xuesen
Affiliation:ZHONG Lipu,WU Qingqing,ZOU XuesenDepartment of clinical laboratory,JiangXi provincial cancer hospital,NanChang 330029
Abstract:Objective To explore the relationship between bone marrow smear and peripheral blood leucocyte of malignant lymphoma involved in bone marrow. Methods Retrospective review of the results of bone marrow smear and peripheral blood leucocyte in 69 cases of malignant lymphoma with bone marrow involved. Results Of 69 cases of malignant lymphoma with bone marrow involved, 33 cases of peripheral blood leucocyte counts and 35 cases leucocyte differential counts were abnormal, bone marrow of 19 cases were proliferated normally, and 50 cases were proliferated abnormally. Conclusion When malignant lymphoma progressed to bone marrow involvement or lymphoma leukaemia, the bone marrow gave no absolute relations to its peripheral blood leucocytes and leucocyte differential counts. But if malignant lymphoma was verified, it should take a bone marrow smear morphology analysis routinely, and its blood leucocyte morphology abnormity apper-ars, it should be highly suspicious of lymphoma leukaemia.
Keywords:Lymphoma  Non-Hodgkin's lymphoma  Bone marrow matrix
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