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Advances in the clinical application of bone marrow biopsy pathology in anaemia related blood system diseases |
KONG Linghong1 YE Fang2 LIU Xiaogang1 |
1.Department of Pathology, Chui Yang Liu Hospital Affiliated to Tsinghua University, Beijing 100022, China;
2.Department of Hematology, Chui Yang Liu Hospital Affiliated to Tsinghua University, Beijing 100022, China |
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Abstract There are many types of blood diseases, but the clinical symptoms of different blood diseases are very similar, often accompanied by anemia. It is difficult to make accurate diagnosis only by clinical symptoms. Bone marrow biopsy pathology is the most basic examination method for the morphological diagnosis of hematopathy. This article summarizes the bone marrow biopsy pathology of aplastic anemia, myelodysplastic syndrome, myelofibrosis, gigantic young cell anemia, leukemia, multiple myeloma, the clinical application of blood system diseases such as bone marrow biopsy pathology in clinical diagnosis and treatment guidelines, curative effect evaluation and prognosis evaluation and research progress of aims to improve the blood for clinical diagnostic rate, reduce the misdiagnosis rate to provide a safe and efficient diagnostic method.
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[1] 龙君.对比研究骨髓涂片及骨髓活检在血液病诊断中的应用价值[J].中外医学研究,2018,16(5):84-85.
[2] 谭秀芳,孙红娟.87例小儿血液病临床特点及骨髓细胞学检测结果分析[J].国际检验医学杂志,2018,39(2):200-201.
[3] 蔺金军,赵鸿薇,魏军龙,等.骨髓活检与骨髓细胞学相结合在现代血液病诊断中的意义[J].实用检验医师杂志,2016,8(2):111-114.
[4] 毛瑞,金玲,孙景春.1085例贫血患者骨髓细胞形态学检查回顾性分析[J].中国实验诊断学,2016,20(11):1904-1906.
[5] 赵伟莹,徐酉华.105例儿童自身免疫性溶血性贫血的病因分析[J].重庆医学,2015,44(7):931-933.
[6] 刘艳荣.肿瘤世界卫生组织分类:血液系统肿瘤和淋巴组织肿瘤病理学与遗传学-免疫分型标准解读和体会[J].国际输血及血液学杂志,2008,31(5):461-466.
[7] 律琦,王化泉,邵宗鸿.再生障碍性贫血克隆性造血的研究进展[J].中华医学杂志,2017,97(18):1436-1440.
[8] 侯仕荣.骨髓检验诊断再生障碍性贫血的价值分析[J].医药前沿,2017,7(14):38-39.
[9] 单学赟,孙乃同,王纯斌.骨髓涂片和骨髓活检在再生障碍性贫血患者诊断中的比较分析[J].中外医学研究,2015, 13(22):80-81.
[10] 张京,杨柯,白海,等.血液病骨髓涂片与骨髓病理活检诊断对比分析[J].检验医学与临床,2017,14(3):408-410.
[11] 庞艳彬,任杰,范丽霞,等.骨髓增生异常综合征患者骨髓来源间充质干细胞的成骨分化特点及其临床意义[J].中国肿瘤生物治疗杂志,2018,25(2):148-152.
[12] 王静,袁玉军.骨髓细胞学检查在低增生性骨髓增生异常综合征与再生障碍性贫血鉴别诊断中的价值分析[J].中国社区医师,2018,34(5):121-122.
[13] 孟祥永,许洪志,李英,等.骨髓增生异常综合征239例病例分析[J].临床血液学杂志,2018,31(1):19-23.
[14] 韦拔雄,陈月禄,李美荣,等.骨髓活检组织病理在骨髓增生异常综合征诊断中的价值[J].中国实用医药,2016, 11(21):34-35.
[15] 王明富.骨髓细胞形态学检查在全血细胞减少症中的临床应用[J].实用检验医师杂志,2017,52(4):238-240.
[16] 李清平,肖波,黎艳.骨髓涂片、骨髓活检、骨髓活检联合免疫组化对骨髓增生异常综合征诊断价值探讨[J].现代仪器与医疗,2016,22(4):69-70.
[17] 中华医学会血液学分会白血病淋巴瘤学组.原发性骨髓纤维化诊断与治疗中国专家共识(2015年版)[J].中华血液学杂志,2015,36(9):721-725.
[18] 杨再林,符刚,陈洁平,等.骨髓活检与涂片联检对153例全血细胞减少诊断价值的临床意义[J].重庆医学,2011, 40(30):3037-3038.
[19] 蓝松,马小龙.骨髓活检在血液病中的应用196例[J].中国社区医师,2013,15(1):246-247.
[20] 曹晓莉,金华.骨髓涂片、骨髓活检对弥漫性大B细胞淋巴瘤临床分期的价值[J].现代肿瘤医学,2017,25(8):1302-1305.
[21] 梁影.巨幼细胞性贫血76例临床分析[J].陕西医学杂志,2016,45(8):1058-1060.
[22] 董毅,朱太岗,李月红,等.骨髓病理检查在全血细胞减少性疾病中的应用价值[J].中华全科医学,2013,11(2):189-191.
[23] 谭秀芳,孙红娟.骨髓细胞及血小板参数联合诊断血液疾病的价值研究[J].国际检验医学杂志,2018,39(3):336-338.
[24] 李迎伟,沈元元,王会平,等.51例多发性骨髓瘤的临床特点分析及实验室指标的诊断意义[J].中国农村卫生事业管理,2014,34(7):896-898.
[25] 刘健,欧阳清,王晓桃,等.骨髓活检在102例多发性骨髓瘤诊断及疗效评估中的意义[J].重庆医学,2011,40(25):2562-2564.
[26] Gilotra M,Gupta M,Singh S,et al. Comparison of bone marrow aspiration cytology with bone marrow trephine biopsy histopathology:An observational study [J]. J Lab Physicians,2017,9(3):182-189.
[27] 夏小军,段赟,崔杰,等.贫血性疾病舌象与血象、骨髓象相关性研究[J].中医研究,2017,30(12):69-73. |
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