外周血细胞计数与形态学检查对常见白血病诊断的作用

Effect of peripheral blood cell count and morphological examination on diagnosis of common leukemia

目的探讨常见白血病中外周血细胞计数及形态学检查的诊断意义。方法选取我院2015年7月-2017年1月收治的74例常见白血病患者,根据不同疾病类型进行分组,均予以外周血细胞计数、形态学检查。观察不同类型疾病患者白细胞计数、形态学检查结果。结果不同类型常见白血病中,慢性红白血病(chronic erythroleukemia,AEL)、不伴成熟型急性髓细胞白血病(acute myeloid leukemia,AML)、急性淋巴细胞白血病(chronic lymphocytic leukemia,CLL)均以白细胞计数为10×10~9/L-50×10~9/L为主,急性早幼粒细胞白血病(acute promyelocytic leukemia,APL)以白细胞计数≤4×10~9/L为主,慢性粒细胞白血病(chronic granulocytic leukemia,CGL)以白细胞计数>50×10~9/L为主;不同类型常见白血病中,各组白细胞计数有所差异,各组血涂片均高于骨髓涂片白血病细胞数的白细胞计数(P<0.05)。结论常见白血病诊断中,外周血细胞计数具有较佳临床价值。

Objective To investigate the diagnostic significance of peripheral blood cell count andmorphological examination in common leukemia.Methods From July2015to January2017in Xijing Hospital,a total of74patients with common leukemia were enrolled and were divided into groups according to the differenttypes of diseases.All the blood cells were counted and morphologically examined.The results of white bloodcell count and morphological examination in patients with different types of diseases were compared.ResultsChronic erythroleukemia(AEL),acute myeloid leukemia(AML)and chronic lymphocytic leukemia(CLL)werepredominantly white blood cell count of10×109/L-50×109/L;acute promyelocytic leukemia(APL)was≤4×109/L;chronic granulocytic leukemia(CGL)group was>50×109/L.The white blood cell count of each group was higherthan that of bone marrow smear leukemia cells(P<0.05).Conclusion Peripheral blood cell count has a goodclinical value in the diagnosis of common leukemia.