引用本文:陈正立,宁自觉,刘 波,陈以文,李 山,秦 雪,杨 峥,兰会华,莫武宁.急性淋巴细胞白血病49例染色体核型和免疫分型的分析[J].中国临床新医学,2010,3(2):130-133.
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急性淋巴细胞白血病49例染色体核型和免疫分型的分析
陈正立,宁自觉,刘 波,陈以文,李 山,秦 雪,杨 峥,兰会华,莫武宁
530021 南宁,广西医科大学第一附属医院临床医学实验部
摘要:
[摘要] 目的 探讨急性淋巴细胞白血病(ALL)患者染色体异常及免疫分型与疗效的关系。方法 对49例ALL患者骨髓进行染色体及免疫分型分析。结果 儿童ALL伴有t(9;22)异常核型的检出率明显低于成人ALL(P<0.05),但疗效差异无统计学意义(P>0.05);伴有t(9;22)的异常核型与正常核型ALL疗效比较差异有统计学显著意义(P<0.05);伴或不伴有髓系抗原表达的ALL疗效比较差异无统计学意义(P>0.05)。结论 ALL患者染色体核型异常的检出率较高,较常见的核型异常为t(9;22);核型异常与疗效有一定的关系,伴有t(9;22)核型异常的ALL疗效差,而其它异常核型的ALL疗效间差异无统计学意义(P>0.05)。
关键词:  白血病  染色体核型  免疫分型
DOI:10.3969/j.issn.1674-3806.2010.02.10
分类号:R 733.71
基金项目:
Karyotype and immunophenotype analysis in 49 cases of acute lymphocytic leukemia
CHEN Zheng-li, NING Zi-jue, LIU Bo,et al.
Experimental Department of Clinical Medicine, the First Affiliated Hospital of Guangxi Medical University,Nanning 530021,China
Abstract:
[Abstract] Objective To investigate the relationship between the efficacy and the karyotype and immunophenotype in acute lymphocytic leukemia (ALL). Methods A total of 49 bone marrow samples were taken for the karyotype and immunophenotype analysis. Results The detected rate of abnormal karycotype with t(9;22) in ALL children was significantly lower than that in ALL adult (P<0.05), but no difference in efficacy (P> 0.05); There was differences in efficacy between the abnormal karyotype with t(9;22) and normal karyotype (P<0.05); There was no difference in efficacy between acute lymphocytic leukemia with and without myeloid antigen expression (P> 0.05). Conclusion There was a higher rate of abnormal chromosome karycotype in patients with ALL, the more common chromosomal abnormal karycotype was t(9;22). There was a relationship between chromosomal abnormal karycotype and the efficacy. The efficacy was poorer in chromosomal abnormal karycotype accompanied by t(9;22) in ALL, while there was no difference in efficacy between other abnormal karyotypes in ALL.
Key words:  Leukemia  Chromosome karyotype  Immunophenotype