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目的探讨骨髓活检和骨髓涂片在血小板减少诊断中的意义。方法回顾性分析157例血小板减少患者骨髓涂片和骨髓活检切片的临床资料,分别观察骨髓涂片和活检切片的增生程度、骨髓造血容积、巨核细胞数及阳性结果检出率。结果骨髓组织切片能准确地反映骨髓细胞增生程度,阳性结果检出率高于骨髓涂片。结论骨髓活检可作为血小板减少重要的鉴别诊断依据,骨髓活检和涂片同步观察能有效提高血液病诊断率,减少误诊率。
Objective To investigate the significance of bone marrow biopsy and bone marrow smear in the diagnosis of thrombocytopenia. Methods A retrospective analysis of 157 cases of thrombocytopenia in patients with bone marrow smears and bone marrow biopsy of the clinical data were observed bone marrow smears and biopsy biopsy, hematopoietic volume of bone marrow, megakaryocytes and the positive detection rate. Results The bone marrow biopsy could accurately reflect the degree of bone marrow cell proliferation. The detection rate of positive results was higher than that of bone marrow smear. Conclusion Bone marrow biopsy can be used as an important basis for differential diagnosis of thrombocytopenia. Bone marrow biopsy and smear synchronization can effectively improve the diagnosis rate of hematological diseases and reduce the misdiagnosis rate.