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免疫固定电泳在多发性骨髓瘤辅助诊断中的临床价值
引用本文:翟妮,王昌敏. 免疫固定电泳在多发性骨髓瘤辅助诊断中的临床价值[J]. 检验医学与临床, 2021, 18(5): 582-584,588. DOI: 10.3969/j.issn.1672-9455.2021.05.002
作者姓名:翟妮  王昌敏
作者单位:新疆医科大学研究生学院,新疆乌鲁木齐 830054;新疆维吾尔自治区人民医院临床检验中心,新疆乌鲁木齐 830001
基金项目:新疆维吾尔自治区自然科学基金项目
摘    要:目的 探讨血清免疫固定电泳在多发性骨髓瘤(MM)的辅助诊断与治疗中的临床价值.方法 以2017年1月至2019年10月就诊于新疆维吾尔自治区人民医院的74例MM患者作为研究对象,分别取血清进行免疫固定电泳与蛋白电泳,收集两种电泳方法的M蛋白检测结果 并进行统计学处理.结果 74例MM患者中,血清蛋白电泳检出M蛋白51例...

关 键 词:多发性骨髓瘤  免疫固定电泳  血清蛋白电泳  M蛋白

Clinical value of immunofixation electrophoresis in auxiliary diagnosis of multiple myeloma
ZHAI Ni,WANG Changmin. Clinical value of immunofixation electrophoresis in auxiliary diagnosis of multiple myeloma[J]. Laboratory Medicine and Clinic, 2021, 18(5): 582-584,588. DOI: 10.3969/j.issn.1672-9455.2021.05.002
Authors:ZHAI Ni  WANG Changmin
Affiliation:(Graduate School of Xinjiang Medical University,Urumqi,Xingjiang 830054,China;Clinical Laboratory Center,People′s Hospital of Xinjiang Uygur Autonomous Region,Urumqi,Xingjiang 830001,China)
Abstract:Objective To investigate the clinical value of serum immunofixation electrophoresis in the auxiliary diagnosis and treatment of multiple myeloma(MM).Methods A total of 74 patients with MM who were admitted to the People′s Hospital of Xinjiang Uygur Autonomous region from January 2017 to October 2019 were selected as the research subjects,their serum samples were collected for immunofixation electrophoresis and protein electrophoresis respectively,and the M protein detection results of the two electrophoresis methods were collected and statistically analyzed.Results Among 74 patients with MM,51 cases(68.9%)were detected M protein by serum protein electrophoresis,72 cases(97.3%)were detected M protein by immunofixation electrophoresis,including 47 cases(63.5%)of IgG type,15 cases(20.3%)of IgA type,4 cases(5.4%)of IgM type and 6 cases(8.1%)of light chain type.The detection rate of M protein in serum immunofixation electrophoresis was higher than that of serum protein electrophoresis(P<0.05).Conclusion Serum immunofixation electrophoresis can quickly,conveniently and accurately diagnose and classify MM,and has important clinical value,it should be used as one of the routine detection methods for MM.
Keywords:multiple myeloma  immunofixation electrophoresis  serum protein electrophoresis  M protein
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