骨髓红系造血岛的形态观察在贫血诊断中的价值

The Examination of Bone Marrow Erythroblastic Islands and its' Diagnostic Value

目的探讨骨髓红系造血岛(erythroblastic islands,EI)在贫血诊断中的价值。方法以形态学方法观察77例骨髓涂片的EI,并且计数阳性率及判定成熟度。结果从各类贫血的EI阳性率来看,缺铁性贫血、巨幼细胞性贫血、溶血性贫血分别为53.0%、28.5%、25%,而再生障碍性贫血均未见到EI。MDS的EI阳性率为37.5%。结论EI在贫血诊断方面有重要的价值。

Objective To explore the diagnostic value in the examination of bone marrow erythroblastic islands （EI）. Methods The incidence and maturity of EI by morphological examination in 77 cases. Results The incidence of EI in iron deficiency anemia, megaloblastic anemia, hemolytic anemia was 53 per cent.28.5 per cent and 25 per cent respectively. EI was found to be very rare in aplastic anemia. EI incidence in MDS was 37.5 per cent. Conclusions The examination of EI plays an important role in some anemia diagnosis.