本研究探讨急性白血病及慢性髓系白血病继发骨髓纤维化的骨髓活检病理特征及与疾病预后的关系.观察本院血液科29例白血病继发骨髓纤维化患者的骨髓活检病理特征,对比分析骨髓涂片及活检增生程度,治疗后纤维化程度的变化,并与未继发骨髓纤维化患者进行预后比较.结果表明,骨髓纤维化可使骨髓涂片出现假性增生减低,活检显示除原发病的病理特征外均有网硬蛋白增多,Gomori染色++至+++.治疗后骨髓纤维化程度有一定改善,总体继发骨髓纤维化患者预后欠佳.结论:白血病继发骨髓纤维化时骨髓活检对诊断有重要价值,治疗后骨髓纤维化程度减轻,但总体患者预后差.%The objective of this study was to investigate the pathological characteristics of leukemia patients with secondary myelofibrosis and their relationship with prognosis. The pathological characteristics of 29 leukemia patients with secondary myelofibrosis were observed, the degree of hyperplasia between bone marrow smear and biopsy, as well as the changes of myelofibrosis after treatment were compared, and their relationship with the prognosis was analysed. The results indicated that the myelobibrosis may cause the decrease of pesudoepitheliomatous in bone marrow smear, and the increase of reticulin could be observed except the primary pathological charateristics in the biopsy with Gomori staining + + - + + + , and the secondary myelofibrosis could be alleviated after treatment. The overall prognosis of these patients was poor. It is concluded that the bone marrow biopsy has the important diagnostic value for the leukemia patients with secondary myelofibrosis, and the myelofibrosis can be alleviated after treatment, but the overall prognosis of leukemia patients with secondary myelofibrosis is poor.
展开▼
