急性白血病化疗后骨髓涂片及骨髓小粒拉片分析

Analysis of Bone Marrow Smear and Fragments Smear in Post-Chemotherapy of Acute Leukemia

目的探讨急性白血病化疗后骨髓增生程度的判断及残留白血病细胞分析的更为有效的方法。方法对86例急性白血病患者化疗后进行骨髓涂片及骨髓小粒拉片检查,并对骨髓增生程度和白血病细胞分布和数量进行观察。结果在骨髓增生程度及白血病细胞分布和数量的判断上,骨髓小粒拉片优于涂片检查。结论骨髓涂片及骨髓小粒拉片同步观察是判断急性白血病化疗后骨髓增生程度及白血病细胞残留情况分析的有效方法,骨髓小粒拉片可作为常规检查方法以弥补涂片检查的不足。

Objective To explore a more effective way to observe the hemopoiefie cell in post-chemotherapy of acute leukemia. Methods To exam bone marrow and fragment smear in 86 eases of acute leukemia; to observe the degree of bone marrow hyperplasia and observe the distribution and quantity of leukemia cells. Restilts For analysis, the degree of bone marrow hyperplasia and the distribution and quantity of leukemia cells and the way bone marrow tissue print is better than bone marrow smear. Conclusions Fragments smear could be a routine for completing the bone （narrow swear） and combine two ways for evaluation. The hemopoietie cells in post-chemotherapy in acute leukemia are recommended.