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目的分析血细胞形态学观察对诊断常见血液病的意义。方法将2014年5月-2016年10月在我院进行血常规检查的80例患者设为分析对象,所有患者均经过血细胞分析仪检测,并收集所有患者的血象样本进行血细胞形态学显微镜复查;比较两种检查方式的真阳性率。结果针对白血病和血小板异常的诊断情况而言,两种检查方式的结果存在明显差异,有统计学意义(P<0.05);针对贫血和感染发热的诊断情况而言,两种检查方式的结果无明显差异,不具有统计学意义(P>0.05);可见,血细胞分析仪对贫血和感染发热的准确率明显,而血细胞形态学镜检对白血病和血小板异常的准确率明显;血细胞形态学镜检明显增加了白血病和血小板异常的真阳性率。结论针对白血病和血小板疾病的诊断而言,血细胞分析也无法独立完成,需结合血细胞形态学观察,从而提高疾病诊断真阳性率。
Objective To analyze the significance of blood cell morphology in the diagnosis of common hematological diseases. Methods A total of 80 patients who underwent routine blood tests in our hospital from May 2014 to October 2016 were enrolled in this study. All patients were tested by hematology analyzer and blood samples of all patients were collected for blood cell morphological microscopy. Compare the true positive rate of the two test methods. Results There was a significant difference between the two methods in the diagnosis of leukemia and platelet abnormalities (P <0.05). For the diagnosis of anemia and fever, the results of the two tests (P> 0.05). It can be seen that the accuracy of hematology analyzer for anemia and infection fever is obvious, and the accuracy of hemocyte morphology examination for leukemia and platelet abnormalities is obvious. The morphology of blood cell morphology Significantly increased the true positive rate of leukemia and platelet abnormalities. Conclusion For the diagnosis of leukemia and platelet disease, hematology analysis can not be done independently. Combining the observation of blood cell morphology, so as to improve the true positive rate of disease diagnosis.