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目的:分析全自动血液分析仪及外周血涂片镜检两种检查手段在初诊恶性血液病诊断中的价值。方法:用日本东亚公司NS- 1500 型全自动血液分析仪及外周血涂片镜检作瑞氏染色检查外周血白细胞分类。结果:148 例恶性血液病中,用NS- 1500 型全自动血液分析仪及外周血涂片镜检幼稚细胞的检出率分别为:83-7 % (124/148) 、79-9 % (118/148) ,P> 0 .05 。外周血涂片镜检未检出幼稚细胞的病人中,有2 例M2 病人用NS- 1500 全自动血液分析仪做外周血白细胞计数和分类时仪器提示有异常。但用NS- 1500 型全自动血液分析仪检查各种不同类型幼稚细胞的鉴别有时会有误差。结论:全自动血液分析仪与外周血涂片镜检是两种各具特有功能的检查手段,在临床诊断中,只有互相结合,取长补短,才能使血液病诊断的准确率提高到一个新水平。
OBJECTIVE: To analyze the value of two kinds of inspection methods, automatic blood analyzer and peripheral blood smear microscopy, in the diagnosis of newly diagnosed hematological malignancies. METHODS: The peripheral blood leukocyte counts were examined by Japanese East Asian company NS-1500 automatic hematology analyzer and peripheral blood smears for Wright’s staining. RESULTS: Among the 148 cases of hematologic malignancies, the detection rates of NS-1500 automatic hematology analyzer and peripheral blood smear microscopy were as follows: 83-7 % (124/148), 79-9 % ( 118/148), P> 0 .05. Of the patients who did not detect naive cells in peripheral blood smear microscopy, 2 patients with M2 had abnormalities in peripheral blood leukocyte counts and categorizations using the NS-1500 automated hematology analyzer. However, the use of the NS-1500 automatic hematology analyzer to check the identification of various types of naive cells can sometimes lead to errors. Conclusion: The automatic hematology analyzer and the peripheral blood smear microscopy are two kinds of inspection methods with unique features. In clinical diagnosis, only by combining with each other and complement each other, can the accuracy of diagnosis of blood diseases be raised to a new level.