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23例骨髓增生异常综合征患者骨髓GM-CFU的观察
引用本文:刘明漪,羊裔明,吴谨绪,邓长安,阮惠芳.23例骨髓增生异常综合征患者骨髓GM-CFU的观察[J].四川大学学报(医学版),1987(3).
作者姓名:刘明漪  羊裔明  吴谨绪  邓长安  阮惠芳
作者单位:华西医大内科学教研室 (刘明漪,羊裔明,吴谨绪,邓长安),华西医大内科学教研室(阮惠芳)
摘    要:作者对23例骨髓增生异常综合征(MDS)患者的骨髓粒细胞-巨噬细胞集落形成单位(GM-CFU)进行了观察,结果显示:MDS患者的GM-CFU较正常对照明显降低,集簇:集落比,较正常对照明显升高。有2例RAEB型患者死亡,其中1例死于感染和出血。3例RAEB-T型患者均转化为急性白血病死亡。该5例患者的GM-CFU及集簇:集落比的异常十分显著,表明骨髓GM-CFU在MDS患者的预后估价中是一个有用的指标。

关 键 词:骨髓增生异常综合征  粒单系祖细胞培养  粒细胞-巨噬细胞集落形成单位

A STUDY ON GM-CFU IN 23 PATIENTS WITH MYELODYSPLASTIC SYNDROME
Liu Mingyi,Yang Yiming,Wu Jinxu.A STUDY ON GM-CFU IN 23 PATIENTS WITH MYELODYSPLASTIC SYNDROME[J].Journal of West China University of Medical Sciences,1987(3).
Authors:Liu Mingyi  Yang Yiming  Wu Jinxu
Institution:Liu Mingyi;Yang Yiming;Wu Jinxu Department of Medicine
Abstract:Twenty-three patients with myelodys-plastic syndrome (MDS) were studied withthe soft agar marrow culture assay toidentify granulocyte-macrophage progenitorcells (GM-CFU), ten of whom were withRA, two with RAS, eight with RAEB andthree with RAEB-T. The colony formationsby the marrow cells of the patients withMDS were decreased; while the cluster:colony ratios of whom were increased. Twoof eight patients with RAEB died, one ofwhom died of infection and bleeding.In allthe three patients with RAEB-T with avery low colony formation and a high clus-ter: colony ratio transformed to acute mye-logenous leukemia and died. Our studysupports that patients with RAEB andRAEB-T have a worse prognosis than thosewith RA and RAS, and GM-CFU assay isuseful in predicting the prognosis of MDS.
Keywords:Myelodysplastic syndrome  Granulocyte-macrophage progenitor culture  Granulocyte macrophage-colony forming unit
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