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急性髓细胞性白血病在细胞形态学分型中,将急性粒一单核细胞白血病分为M4型。这是一种影响双细胞系列的白血病病变,骨髓细胞学变化多样及复杂,往往需借助于细胞化学和单克隆抗体的免疫分型作出诊断。本文分析了48例急性粒一单核细胞性白血病的骨髓细胞学特征和细胞化学特点,以期对此类型白血病的骨髓细胞形态学变化有足够的认识,提高诊断的准确性。
Acute myelogenous leukemia is classified into M4 type in acute granulomonocytic leukemia in cell morphological typing. This is a kind of leukemia affecting the two-cell series. The cytological changes of bone marrow are diverse and complex. It is often necessary to make a diagnosis by means of immunochemistry based on cytochemistry and monoclonal antibodies. This article analyzed the cytological characteristics and cytochemical characteristics of 48 cases of acute myelomonocytic leukemia in order to have a sufficient understanding of the morphological changes of bone marrow cells in this type of leukemia and improve the accuracy of diagnosis.