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骨髓小粒在再生障碍性贫血和低增生骨髓增生异常综合征诊断和鉴别诊断中的意义
引用本文:周格琛. 骨髓小粒在再生障碍性贫血和低增生骨髓增生异常综合征诊断和鉴别诊断中的意义[J]. 临床和实验医学杂志, 2013, 12(6): 423-424
作者姓名:周格琛
作者单位:广西医科大学第四附属医院,柳州市工人医院检验科,广西,柳州,545005
摘    要:目的探讨骨髓小粒在再生障碍性贫血(AA)和低增生骨髓增生异常综合征(MDS)的诊断和鉴别诊断中的意义。方法对已明确诊断的30例AA和6例低增生MDS的骨髓小粒进行回顾性分析。结果 AA组的骨髓小粒中非造血细胞比率显著高于低增生MDS组(P<0.01),后者的原粒+早幼粒细胞比率高于前者(P<0.05),并有病态造血。结论骨髓小粒分析对AA和低增生MDS的诊断与鉴别诊断有重要的参考价值。

关 键 词:再生障碍性贫血  低增生骨髓增生异常综合征  骨髓小粒  病态造血

The significance of examination of marrow parvule in diagnosis and differential diagnosis in aregenerative anemia and hypomyeloplastic MDS
ZHOU Ge-chen. The significance of examination of marrow parvule in diagnosis and differential diagnosis in aregenerative anemia and hypomyeloplastic MDS[J]. Journal of Clinical and Experimental Medicine, 2013, 12(6): 423-424
Authors:ZHOU Ge-chen
Affiliation:MDS. ZHOU Ge -chen. Department of Laboratory , The Fourth Affiliated Hospital of Guangxi Medical University, Liuzhou Workers Hospital, Li- uzhou Guangxi 545005, China.
Abstract:Objective To explore the significance of examination of marrow parvules in diagnosis and differential diagnosis between are- generative anemia (AA) and myelodysplastic syndrome (MDS) with hypoplasia. Methods The data of examination of marrow parvules in 30 ca- ses of AA and 6 cases of MDS with hypoplasia were retrospectively analyzed. Results The proportion of non - hematopoietic cells in marrow par- yules of AA group was obviously higher than that of hypomyeloplastic MDS group ( P 〈0.01 ). The proportion of myeloblasts and pmmyelocytes in the latter was obviously higher than that of the former ( P 〈 0.05 ), moreover, dyshematopoiesis was appeared in the latter. Conclusion The anal- ysis of marrow parvules has important reference value in diagnosis and differential diagnosis between AA and hypomyeloplastic MDS.
Keywords:Aplastic anemia  Myelodysplastic syndrome with hypoplasia  Marrow parvules  Dyshaematopoiesis
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