论文部分内容阅读
目的观察骨髓活检和涂片在骨髓转移癌中的诊断价值。方法对103例非造血系统恶性肿瘤(63例治疗后,40例治疗前)骨髓活检切片及涂片进行组织学和细胞形态学分析。结果 (1)63例治疗后患者骨髓活检有26例存在骨髓转移,阳性率为41.26%,骨髓涂片有12例检出肿瘤细胞,阳性率为19.04%,骨髓活检阳性率高于涂片,P<0.01;(2)40例初治患者中骨髓活检有31例阳性,阳性率为77.50%,涂片有13例阳性,阳性率为32.50%,骨髓活检骨髓转移癌阳性率高于涂片,P<0.01。结论骨髓活检可提高骨髓转移癌的检出率,对骨髓转移癌的诊断有重要意义。
Objective To observe the diagnostic value of bone marrow biopsy and smears in bone marrow metastasis. Methods 103 cases of non-hematological malignancies (63 cases after treatment, 40 cases before treatment) bone marrow biopsy sections and smears histological and cytomorphological analysis. Results (1) Bone marrow metastasis was found in 26 cases of bone marrow biopsy in 63 cases after treatment, the positive rate was 41.26%. The bone marrow smear in 12 cases detected tumor cells, the positive rate was 19.04%. The positive rate of bone marrow biopsy was higher than smear, P <0.01; (2) In the 40 cases of newly diagnosed patients, there were 31 cases of bone marrow biopsy positive, the positive rate was 77.50%, smear 13 positive, the positive rate was 32.50%, bone marrow biopsy bone marrow metastasis positive rate was higher than the smear , P <0.01. Conclusion Bone marrow biopsy can improve the detection rate of bone marrow metastases and is of great significance for the diagnosis of bone marrow metastases.