骨髓细胞学联合外周血常规检测在全血细胞减少性疾病中的应用价值

Application value of bone marrow cytology combined with peripheral blood routine detection in whole blood cytopenic disease

目的探讨全血细胞减少性疾病应用骨髓细胞学联合外周血检测的诊断价值。方法选择我院血液科2017年1月至2018年1月收治的全血细胞减少性疾病患者182例,其中40例为非造血系统疾病(A组),142例为造血系统疾病(B组),均行外周血、骨髓细胞学检测,观察两组不同病理类型血涂片检测结果,对比两组外周血常规水平。结果两组的骨髓象均有不同程度改变。A组红细胞、白细胞、血红蛋白、血小板水平均高于B组(P<0.05)。结论全血细胞减少性疾病应用骨髓细胞学联合外周血检测可显著提高诊断准确性。

Objective To explore the diagnostic value of combination of bone marrow cytology and peripheral blood examination in whole blood cytopenic disease. Methods A total of 182 patients with whole blood cytopenic disease were selected in our hematology department from January 2017 to January 2018. Among them, 40 cases were non-hematopoietic diseases（group A）, 142 cases were hematopoietic system diseases（group B）. All of them were examined by bone marrow cytology and peripheral blood examination. The results of blood smear test of different pathological types were observed in both groups, and the levels of peripheral blood routine in the two groups were compared. Results The bone marrow images of the two groups had varying degrees of change. The levels of erythrocytes, leukocytes, hemoglobin and platelets in the group A were higher than those in the group B（P0.05）. Conclusion Bone marrow cytology combined with peripheral blood routine detection in whole blood cytopenic disease can significantly improve the diagnostic accuracy.