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骨髓活检与穿刺涂片对血液病诊断价值的对比研究

A Contrast Study of Bone Marrow Biopsy and Aspiration Smear in the Diagnosis of Hematologic Diseases

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【作者】 黄子洲叶德富朱月永陈君敏关家瑞林娜梁平

【Author】 Huang Zizhou;Lin Na;Ye Defu First Affiliated Hospital, Fujian Medical College, Fuzhou

【机构】 福建医学院附属第一医院内科福建医学院附属第一医院内科福建医学院电子显微镜室

【摘要】 对104例患者在同一部位同时进行骨髓穿刺涂片及活检切片检查。结果表明,活检切片和穿刺涂片诊断一致者达72.1%,不一致27.9%;骨髓穿刺涂片确诊率88.5%,活检切片确诊率81.7%,二项联合应用确诊率99%。二项联合应用可大大提高血液病的诊断准确率。

【Abstract】 Both bone marrow biopsy and aspiration smear taken from the same site in 104 cases were examined. The results showed that the agreement of diagnosis between bone marrow biopsy and aspira- tion smear was 72. 1%, and disagreement 27. 9%; the confirmed diagnosis rate was 88. 5% in aspira- tion smear, and 81. 7% in bone marrow biopsy. It would reach 99% if both of the two techniques were used. Combined application of them may greatly improve the diagnostic accuracy in hematologic diseases.

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