摘要
分析47例骨髓穿刺干抽的临床和病理改变,干抽占同期1319例骨穿的3.6％。根据骨髓细胞的密度和间质纤维增殖的程度,把干抽的原因分为4类:高细胞伴间质细胞增多者19例(42.2％);间质细胞增多者14例(31.1％);高细胞者8例(17.8％)及低细胞者4例(8.9％)。主要疾病为:急性淋巴细胞白血病(25.5％),急性非淋巴细胞白血病(17.0％),慢性白血病(14.9％),骨髓转移瘤(10.6％),再障(6.4％),原发性骨髓纤维化(6.4％)。27例白血病占47例干抽的57.4％,其干抽原因与间质细胞增多和(或)高细胞有关;骨髓转移癌的干抽与继发骨髓纤维化有关;再障的干抽与骨髓细胞显著减少有关。
47 cases of clinicopathologic changes in dry tap bone marrow aspirations were analysed. Among 1319 simultaneous bone marrow aspirations, 47 were 'dry tap' (3. 6%). According to the density of cells and degree of hy-perplasia of interstital fibers, the causes of 'dry tap ' were divided into four categories, high cell density with hyperplasia of interstitial cells 19 cases (42. 2%); hyperplasia of interstitial cells 14 cases (31.1%); high cell density 8 cases (17.8%); and low cell density 4 cases (8.9%). The frequent diagnoses were acute lymphogenous leukemia (25.5%), acute non-lymphogenous leukemia (17.0%),. chronic
leukemia (14.9%), metastatic carcinoma (10. 6%), aplastic anemia (6. 4%) and primary myelofibrosis (6. 4%). Of the 47 cases of 'dry tap', 27 were leukemia (57.4%). The cause of 'dry tap 'in leukemia had relation to hyperplasia of interstitial cells and/or high cell density; the cause of 'dry tap' in metastatic carcinoma had relation to secondary myelofibrosis ; and the cause of 'dry tap' in aplastic anemia had relation to marked decrease of marrow cells.
出处
《临床与实验病理学杂志》
CAS
CSCD
北大核心
1994年第2期126-128,T004,共4页
Chinese Journal of Clinical and Experimental Pathology
关键词
骨髓
穿刺
干抽
病理分析
dry tap bone marrow aspiration
pathological change
clinical significance
