深析骨髓细胞形态学检查在贫血疾病中所起的作用

The effect of bone marrow cell morphology examination in the anemia disease

目的分析骨髓细胞形态学检查在贫血疾病中所起的作用,了解患者贫血疾病的形态学特征对诊断的临床应用价值。方法选择120例进行血常规检查而确诊的贫血患者作为研究对象。通过临床症状、骨髓形态学检查、铁染色等方面对120例贫血患者展开病因学分析。结果缺铁性贫血、巨幼细胞性贫血、急性白血病及感染性贫血为主要贫血,其中缺铁性贫血占26例(21.7%),巨幼细胞性贫血19例(15.8%),急性白血病占10例(8.3%),感染性贫血占15例(12.5%),120例贫血病例骨髓涂片分析,缺铁性贫血的细胞形态为骨髓增生活跃或明显活跃,粒红比正常或偏低。巨幼细胞性贫血的骨髓有核细胞大多增生明显活跃。其他感染性贫血及作描述性诊断的病例较少,可能是由于某些疾病早期,其细胞形态学未表现出特殊改变。结论骨髓细胞形态学检查对挖掘贫血病因起着关键作用,帮助临床展开针对性治疗,利于临床医师对治疗效果的判断,值得临床上进一步推广、应用。

Objective To analyze and compare the effect of bone marrow cell morphology examination in the diagnosis of anemia,and to understandthe clinical application value of the morphological characteristics of the patients with anemia.Methods Our hospital receiving treatment in120cases of blood routine examination and diagnosis of anemia in patients with as the research object.Through clinical symptoms,bone marrowmorphology examination,iron stain and other aspects of120cases of anemia in patients with an analysis of the etiology.Results Iron deficiencyanemia,megaloblastic anemia,acute leukemia and anemia of infection is mainly including anemia,iron deficiency anemia accounted for26cases(21.7%),19cases of megaloblastic anemia(15.8%),10cases of acute leukemia(8.3%),infectious anemia accounted for15cases(12.5%),analysis120cases of anaemia cases of bone marrow smear,iron deficiency anemia cellular morphology of bone marrow hyperplasia or obviously active redthan normal or low.Most of the bone marrow mononuclear cells of the patients with giant cell anemia were significantly active.Other infectious anemiaand fewer cases of descriptive diagnosis may be due to the early stage of certain diseases,the cell morphology did not show a special change.Conclusion Bone marrow examination of the causes of anemia mining plays a key role in helping clinical targeted therapy,can help the doctors tojudge the therapeutic effect,worthy of further promotion and clinical application.