• 中国科学论文统计源期刊
  • 中国科技核心期刊
  • 美国化学文摘(CA)来源期刊
  • 日本科学技术振兴机构数据库(JST)

临床输血与检验 ›› 2017, Vol. 19 ›› Issue (1): 79-82.DOI: 10.3969/j.issn.1671-2587.2017.01.022

• 临床检验 • 上一篇    下一篇

急性髓细胞白血病微小残留病灶经骨髓活检的应用价值

徐瑞琴, 胡可妮   

  1. 274000 山东省菏泽市中医医院血液病科
  • 收稿日期:2016-08-05 出版日期:2017-02-20 发布日期:2017-03-02
  • 作者简介:徐瑞琴(1970-),女,山东菏泽东明县人,副主任医师,学士,主要从事血液病研究,(E-mail)sdwaling@126.com。

The Application Value of Acute Leukemia Minimal Residual Disease with Bone Marrow Biopsy Detecting

XU Rui-qin, HU Ke-ni   

  1. Heze City of Shandong Province Hospital of Traditional Chinese Medicine Haematology Department Shandong Heze 274000
  • Received:2016-08-05 Online:2017-02-20 Published:2017-03-02

摘要: 目的 探讨急性髓细胞白血病微小残留病灶经骨髓活检的应用价值。方法 选取本院2013年1月~2014年1月收治的78例成人急性髓细胞白血病患者为研究对象,于初次化疗后、化疗后12、24、36及48个月,对患者实施骨髓涂片和活检,比较骨髓细胞学和骨髓活检结果。结果 本组78例患者共实施骨髓活检290次,化疗后12个月与24个月、36个月、48个月相比,微小残留病灶阳性检出率的差异均有统计学意义(P<0.05)。化疗12个月和24个月时复发病例均存在微小残留病灶,2例患者停止化疗后复发,其中无微小残留病灶1例为髓外复发,有微小残留病灶1例。持续缓解组微小残留病灶呈阳性。结论 骨髓活检安全、方便,对成人急性髓细胞白血病微小残留病灶检测有一定的参考价值。

关键词: 急性髓细胞白血病, 微小残留病灶, 骨髓活检

Abstract: Objective To investigate application value of bone marrow biopsy detection of acute leukemia minimal residual disease. Method s78 cases of adult acute leukemia patients in our hospital during the period January 2013 - January 2014 were treated as the research object,using bone marrow biopsy after chemotherapy,12,24 ,36 and 48 months in patients with bone marrow smear and biopsy of implementation,comparison of bone marrow cytology and bone marrow biopsy Results,statistical processing. Results A total of 78 patients with bone marrow biopsy were performed 290 times in this group. The positive aspects of minimal residual lesions were 12 months and 24 months,36 months and 48 months,and the difference was significant (P<0.05).In minimal residual lesions and recurrence: there were minimal residual lesions in 12 and 24 months,and 2 patients relapsed after chemotherapy,there were no minimal residual lesions in 1 cases,and 1 patients with minimal residual disease. Minimal residual lesions were positive in the continuous remission group. Conclusion Bone marrow biopsy is safe and convenient,and it has a certain reference value for the detection of minimal residual disease in adult patients with acute myeloid leukemia.

Key words: Adult acute leukemia, Minimal residual disease, Bone marrow biopsy

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