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目的分析骨髓细胞形态学诊断结果及诊断价值。方法选择该院2015年3月-2015年8月骨髓穿刺标本140例,分析实验室骨髓细胞形态学诊断与临床诊断结果相符率。结果 140例标本骨髓细胞形态学诊断与结果临床诊断相符率:缺铁性贫血(IDA)为84.62%,感染性疾病为68.97%,急性非淋巴细胞白血病(ANLL)为75.00%,恶性淋巴瘤疾病为55.56%,特发性血小板减少性紫癜(ITP)为68.75%,慢性粒细胞白血病为54.55%,急性淋巴性白血病为50.00%,巨幼细胞性贫血为66.67%,其他疾病比例62.50%。结论部分血液性疾病在进行鉴别诊断的过程中选择骨髓细胞形态学具有重要的临床意义,对血液系统疾病的诊断可起到辅助作用。
Objective To analyze the morphology and diagnostic value of bone marrow cells. Methods A total of 140 cases of bone marrow puncture specimens from March 2015 to August 2015 in our hospital were selected for analysis of the coincidence rate of morphological diagnosis and clinical diagnosis of laboratory bone marrow cells. Results The coincidence rate of morphological diagnosis of bone marrow cells in 140 cases and clinical diagnosis was 84.62% for IDA, 68.97% for infectious diseases, 75.00% for acute non-lymphocytic leukemia (ANLL), 75% for malignant lymphoma (55.56%), idiopathic thrombocytopenic purpura (ITP) 68.75%, chronic myeloid leukemia 54.55%, acute lymphoblastic leukemia 50.00%, megaloblastic anemia 66.67% and other diseases 62.50%. Conclusion Some hematological diseases have important clinical significance in the selection of bone marrow cell morphology during differential diagnosis, and may play an auxiliary role in the diagnosis of hematological diseases.