骨髓细胞形态学对全血细胞减少症的临床诊断意义分析

目的：分析骨髓细胞形态学对全血细胞减少症的临床诊断意义.方法：2014 年1月-2016年1月,择取于我院就诊的全血细胞减少症患者70例,所有患者均行骨髓细胞形态学检查,探究其诊断意义.结果：全血细胞减少症患者 骨髓增生以增生活跃、明显活跃及增生低下为主,所占比例较高,分别为 44.29%、 31.43%、 20.00% ;而增生极度活跃及增生极度低下所占比例较低, 分别为2.86%、1.43%.在70例全血细胞减少症患者中,由造血系统疾病所致58例,比例为 82.86%, 由非造血系统疾病所致12例,比例为17.14%,造血及非造血原因比例对比,P 〈 0.05,有统计学意义.结论：骨髓细胞形态学对全血细胞减少症具有重要诊断价值,其中造血系统疾病为主要致病原因,但临床仍需对非造血疾病给予重视.

Objective：To analyze the clinical significance of bone marrow cell morphology in the diagnosis of pancytopenia. Methods： January 2014 to January 2016 ,70 cases with pancytopenia were selected in our hospital,bone marrow cell morphology were examined in all patients,and the clinic al significance was analyzed.Results：The bone marrow hyperplasia of patients with pancytopenia were active,obviously active and hyperplasia relatively low,accounted for a higher proportion, respectively 44.29%、31.43%、20.00%;The proportion of hyperplasia extremely active and hyperplasia extremely low were relatively low,respectively 2.86%、1.43%;In 70 cases of pancytopenia patients,58 cases caused by diseases of the hematopoietic system,the ratio was 82.86%,12 cases caused by non hematopoietic system diseases,the ratio was 17.14%,compared the hematopoietic and nonhematopoietic reason,P〈0.05,had statistical significance.Conclusion： Bone marrow cell morphology plays an important role in the diagnosis of pancytopenia, the hematopoietic system disease is the main cause of disease, but it still needs to pay attention to the non hematopoietic diseases.