探究骨髓细胞学检查在贫血诊断中的临床应用价值

Clinical Value of Bone Marrow Cytology in Diagnosis of Anemia

目的探究骨髓细胞学检查在基层医院临床贫血中的应用价值。方法回顾性分析2012年6月—2014年6月期间该院收治的105例贫血患者的临床资料,对105例贫血患者的骨髓细胞学检查结果进行分析,统计确诊率和贫血类型。结果该次回顾性分析的105例患者中,确诊97例,不明原因8例,临床确诊率为92.38%;其中,缺铁性贫血32例(30.47%),急性白血病7例(6.67%)、再生障碍性贫血4例(3.81%)、骨髓增生异常综合征3例(2.85%)、溶血性贫血4例(3.81%)、感染性贫血11例(10.48%)、慢性粒细胞性白血病6例(5.71%)、巨幼红细胞性贫血4例(3.81%)、肝(肾)性贫血24例(22.86%)、淋巴瘤1例(0.95%)、多发性骨髓瘤1例(0.95%)、原因不明8例(7.62%)。结论骨髓细胞学检查在诊断贫血、确定贫血分型方面具有积极意义,具有较高的临床应用价值。

Objective To explore the clinical value of bone marrow cytology in the diagnosis of anemia. Methods A retrospective analysis concerning the results of bone marrow cytology was carried out on the clinical data of 105 patients with anemia admitted to the hospital from June 2012 and June 2014 to determine the diagnosis rates and type of anemia. Results Of the 105 patients enrolled in this study, in terms of the type of anemia, 97 were confirmed while 8(7.62%) were not with a diagnosis rate of 92.38%.There were 32(30.47%) cases of iron deficiency anemia, 7(6.67%) cases of acute leukemias, 4(3.81%) cases of aplastic anemia,3(2.85%) cases of myelodysplastic syndromes, 4(3.81%) cases of hemolytic anemia, 11(10.48%)cases of infectious anemia, 6(5.71%)cases of chronic myeloid leukemia, 4(3.81%) cases of megaloblastic anemia, 24(22.86%) cases of liver(kidney) anemia,1(0.95%)cases of lymphoma, 1(0.95%)cases of multiple myeloma. Conclusion Bone marrow cytology can play a positive role in the diagnosis of anemia and in determining the type of anemia, therefore it is of high clinical value.