用骨髓小粒拉片提高骨髓形态学诊断水平

Improve Morphological Diagnosis Level by Frangments Smear

目的:探讨骨髓抽吸液小粒拉片(简称拉片法)进行骨髓形态学检查的应用价值,探索适合拉片法的增生程度判断标准。方法:对2004年9～10月中旬我院同期同部位骨髓组织活检(简称活检)及拉片的123例病人,从增生程度及异常细胞的判断、全血细胞减少诊断等方面,以组织活检为参考标准进行对照。结果:用活检标准判断拉片增生程度,Kappa值为0.80,与活检增生程度比较有较好的一致性。拉片法对全血细胞减少等的诊断也较为可靠。结论:用拉片进行骨髓形态学检查简单可靠,值得推广。

Objective： To explore the role of frangments smear and its cellularty standard. Methods： 123 cases were collected, Both frangments smear and biospy were got at the same time, And compareing their cellularty grades and ability to find abnormal cell. Result： There were no significant differences between marrow particals and abnormal cell. Conclusion： Method of frangments smear was simple and especially fit for clinical use.