骨髓活检在多发性骨髓瘤诊断中的价值

The clinical significance of bone marrow biopsy in multiple myeloma

目的 :探讨骨髓活检与骨髓涂片在多发性骨髓瘤 (MM )诊断中的价值。方法 :对 2 9例MM患者骨髓活检采用石蜡薄切片苏木素 伊红染色 ,骨髓涂片采用瑞特染色。结果 :骨髓活检与骨髓涂片的增生程度相符者 13例 (4 4 .8% ) ,骨髓活检增生程度高于骨髓涂片者 12例 (4 1.4 % ) ,骨髓涂片高于骨髓活检者 4例 (13.8% )。骨髓涂片和切片相结合有助于MM的诊断和分型。结论

Objective:To explore the value of bone marrow biopsy and bone marrow smear in multiple myeloma(MM) for diagnosis and treatment.Method:Biopsy of bone marrow from 29 cases of MM were stained according to Haris-Eosin.Smears of bone marrow from 29 cases of MM were stained according to wright.Result:13 of 29 cases( 44.8%) detected by biopsy were equal to those by bone marrow smeared in proliferating degrees,12 of 29 cases( 41.4%) by bone marrow biopsy were higher than those by bone marrow smeared.4 of 29 cases ( 13.8%) by bone marrow smeared higher than those by bone marrow biopsy.Combination of bone marrow biopsy with bone marrow smear benefit diagnosis and classification of MM.Conclusion:Bone marrow biopsy can be an ordinary examination in the diagnosis of MM.