首页|MDS和MA患者血清β2-微球蛋白及铁蛋白检测的临床意义

MDS和MA患者血清β2-微球蛋白及铁蛋白检测的临床意义

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目的 了解骨髓增生异常综合征(MDS)和巨幼细胞性贫血(MA)患者血清β2-微球蛋白(β2-MG)、铁蛋白(SF)检测的临床价值.方法 采用放射免疫法对MDS、MA及健康人群血清β2-MG、SF进行检测.结果 MDS 组患者血清β2-MG、SF值均明显高于正常对照组和MA组(P<0.01);在MDS各亚型患者中,难治性贫血伴原始细胞增多(RAEB-Ⅱ)组血清β2-MG测定值明显高于难治性贫血(RA)组、难治性血细胞减少伴多系发育异常(RCMD)组和难治性贫血伴原始细胞增多(RAEB-Ⅰ)组(P<0.01);RAEB-Ⅰ、RAEB-Ⅱ组血清SF值明显高于RA和RCMD组(P<0.01).结论 联合检测血清β2-MG、SF值,不仅对于MDS和MA的诊断和鉴别诊断,而且对于MDS的分型及病情判断具有一定的临床意义.
Clinical value of determination of β2-MG and SF in patients with myelodysplastic syndrome and megaloblastic anemia
Objective To investigate the clinical value of the determination of serum β2-microglobulintpfe-MG) and fer-ritin(SF) in patients with myelodysplastic syndrome (MDS) and megaloblastic anemia (MA). Methods Serum β2-MG and SF were measured by radioimmunoassay. Results The value of β2-MG in the MDS groups significantly higher than that in control group and MA group(F<0.01). In the patients with different MDS subtypes,the value of β2-MG in refractory anemia with excessive blasts(RAEB-Ⅱ) group was significantly higher than that in refractory a-nemia(RA), refractory cytopenia with multilineage dysplasia(RCMD) and refractory anemia with excessive blasts (RAEB-1) group(P<0.01).The values of SF in RAEB-URAEB-Ⅱ groups were significantly higher than those in RA and RCMD groups(P<0.01). Conclusion United determination of the levels of serum β2-MG and SF have not only important clinical values in the diagnosis and differential diagnosis,but also in the classification and evaluation of MDS.

Myelodysplastic Syndrome/diagnosisMegaloblastic Anemia/diagnosisβ2-microglobulin/bloodFerritin/ blood

张冬清、林静华、焦晓阳、王雪华、周焕槟

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汕头大学医学院第一附属医院检验科,广东 汕头 515041

骨髓增生异常综合征/诊断 巨幼细胞性贫血/诊断 β2-微球蛋白/血液 铁蛋白/血液

2012

中国误诊学杂志
中华预防医学会 漯河市中心医院 重庆第九人民医院

中国误诊学杂志

影响因子:0.406
ISSN:1009-6647
年,卷(期):2012.12(12)
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