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首次用CFU-ALL极限稀释液体微培养法,对16例初诊,14例CR期ALL骨髓进行培养,并用8例正常,11例再生骨髓作为CFU-ALL阴性对照。结果显示:初诊B系ALL骨髓以重叠型集落伴CD(10+)细胞>20%为特点;初诊T-ALL集落也属重叠型(CD(2+)、CD(3+)、CD(7+)).而正常和再生骨髓虽形成集落,但为平展型或伴重叠型集落(CD(10+)<20%、以CD(15+)、CD(33+)细胞为主)。本文14例CR期ALL中,7例有重叠型集落(CD(10+)细胞>20%);临床随访1年半,5例骨髓相继复发,1例诊断为睾丸白血病。
For the first time, CFU-ALL minimal dilution liquid micro-culture method was used to culture 16 cases of newly diagnosed and 14 CR-refractory ALL bone marrow. Eight normal and 11 cases of regenerated bone marrow were used as CFU-ALL negative control. The results showed that the newly diagnosed B-ALL bone marrow was characterized by overlapping colony with> 20% of CD (10+) cells. The newly diagnosed T-ALL colonies also belonged to overlapping type (CD (2 +), CD (3 +) and CD (7+)). Although normal and regenerated bone marrow formed colonies, they were flat or overlapped colonies (CD (10 +) <20%, mainly CD (15+) and CD (33+) cells). Of the 14 cases with CR ALL, 7 had overlapping colonies (> 20% of CD (10+) cells). One year and a half of clinical follow-up, 5 cases of bone marrow relapsed one case and one case of testicular leukemia.