J4

• 临床研究 • 上一篇    下一篇

慢性粒细胞白血病Ph1染色体和bcr/abl融合基因检测的意义

张福明1,袁长吉1,张淑芹2,赖增新3,王冠军1   

  1. 1.吉林大学第一医院血液科,吉林 长春130021;2.吉林大学再生医学研究所细胞生物学研究室,吉林 长春130021;3.吉林省人民医院血库,吉林 长春130021
  • 收稿日期:2004-01-22 修回日期:1900-01-01 出版日期:2005-01-28 发布日期:2005-01-28

Significance of detection of Ph1 chromosome and bcr/ablfusion gene in chronic granulocytic leukemia

ZHANG Fu-ming1, YUAN Chang-ji1,ZHANG Shu-qin2,LAI Zeng-xin3,WANG Guan-jun1   

  1. 1.Department of Hematology and Oncology,First Hospital, Jinlin University,Changchun 130021,China;2. Department of Cytobiology,Institute of Frontier Medical Sciences,Jilin University,Changchun 130021,China;3.Department of Blood Bank,People′s Hospital of Jilin Province, Changchun 130021,China
  • Received:2004-01-22 Revised:1900-01-01 Online:2005-01-28 Published:2005-01-28

摘要: 目的:探讨Ph1染色体和bcr/abl融合基因检测在慢性粒细胞白血病诊断中的意义。 方法:选择95例慢性粒细胞白血病患者和20例缺铁性贫血患者作为研究对象,采用骨髓细胞短期培养法制备染色体、采用RT-PCR法分析bcr/abl融合基因。 结果:95例慢性粒细胞白血病患者中,Ph1染色体阳性者83例(87.4%),bcr/abl阳性阳性者90例(94.7%),Ph1和bcr/abl均阳性83例(94.7%),Ph1阴性、bcr/abl阳性7例(7.4%),Ph1和bcr/abl均阴性5例(5.3%)。20例缺铁性贫血患者Ph1和bcr/abl均阴性。 结论:Ph1染色体、bcr/abl融合基因的检测有助于慢性粒细胞白血病的诊断和鉴别诊断。

关键词: 髓性, 慢性, 诊断, Ph1<, sup>染色体, bcr, abl融合基因, 诊断, 鉴别

Abstract: Objective To study the clinical significance of detection of Ph1 chromosome and bcr/abl fusion gene in the diagnosis for chronic granulocytic leukemia. Methods Ninety-five patients with chronic granulocytic leukemia and twenty patients with iron-deficiency anemia were selected. Bone marrow short-term culture was used to prepare the chromosome, bcr/abl fusion gene was analyzed by RT-PCR method. Results In 95 patients with chronic granulocytic leukemia,83(87.4%) cases were Ph1 Chromosome positive,90(94.7%)cases were bcr/abl positive,7(7.4%)cases were Ph1 negative and bcr/abl positive, 5(5.3%) cases were Ph1 and bcr/abl negative. All 20 patients with iron-deficiency anemia were Ph1 and bcr/abl negative. Conclusion The results indicated that the detection of Ph1 chromosome combined with bcr/abl fusion gene could improve the diagnosis and differential diagnosis of chronic granulocytic leukemia.

Key words: myeloid, chronic, diagnosis, Ph1<, sup> chromosome, bcr, abl fusion gene, diagnosis, differential

中图分类号: 

  • R733.7