中国血液流变学杂志2024,Vol.33Issue(3) :451-455,478.DOI:10.3969/j.issn.1009-881X.2024.03.025

常规染色体检测与荧光原位杂交组合探针在30例淋巴瘤诊断中的应用比较

Comparison of Conventional Cytogenetic and Multiplex Fluorescence in Situ Hybridization in the Diagnosis of 30 Cases of Lymphoma

沈娟 王勇 凌晨 王秋萍 陈苏宁
中国血液流变学杂志2024,Vol.33Issue(3) :451-455,478.DOI:10.3969/j.issn.1009-881X.2024.03.025

常规染色体检测与荧光原位杂交组合探针在30例淋巴瘤诊断中的应用比较

Comparison of Conventional Cytogenetic and Multiplex Fluorescence in Situ Hybridization in the Diagnosis of 30 Cases of Lymphoma

沈娟 1王勇 1凌晨 2王秋萍 3陈苏宁4
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作者信息

  • 1. 苏州大学附属第一医院血液病研究室,江苏 苏州 215006
  • 2. 苏州大学附属第一医院临床检测中心,江苏 苏州 215006
  • 3. 苏州大学附属第一医院内分泌实验室,江苏 苏州 215006
  • 4. 苏州大学附属第一医院血液科,江苏 苏州 215006
  • 折叠

摘要

目的 研究常规染色体检测(CC)和荧光原位杂交(FISH)组合探针在淋巴瘤诊断中的作用和关系.方法 选取2023年于苏州大学附属第一医院就诊的30 例淋巴瘤患者,同时进行CC和FISH组合探针检测,对两种方法检测到的染色体异常结果进行分析.结果 30 例淋巴瘤患者中CC检测出的染色体异常多为复杂异常,异常检出率为53.6%.FISH组合探针异常检出率为43.3%.配对卡方检测P=0.58>0.05,表明两种方法染色体异常检出率差异无统计学意义.部分样本CC和FISH组合探针检测出相同异常,CC可以检测到FISH组合探针范围之外的染色体异常,在CC未检出异常或失败的样本中FISH组合探针仍可以检测出染色体异常.结论 CC和FISH组合探针相互补充,FISH组合探针能扩大一次FISH检测中的信息量,两者共同为淋巴瘤的诊断和治疗提供重要的遗传学数据.

Abstract

Objective To study the role and relationship between conventional cytogenetic(CC)and multiplex fluorescence in situ hybridization(FISH)in the diagnosis of lymphoma.Methods 30 patients with lymphoma in First Affiliated Hospital of Soochow University were examined by CC and multiplex FISH simultaneously.The chromosomal abnormalities detected by the two methods were analyzed to clarify the relationship between the two methods in the diagnosis of lymphoma.Results A considerable portion of the chromosomal abnormalities identified by CC were complex types,with an abnormality detection effect of 53.6%.The abnormality detection effect obtained by the multiplex FISH was 43.3%.The P value of paired chi-square test was 0.58>0.05,indicating that there was no significant difference in the detection rate of chromosomal abnormalities between the two methods.Same chromosomal abnormalities of some samples were detected by CC and multiplex FISH simultaneous.CC could detect chromosomal abnormalities outside the scope of the probe of multiplex FISH,and multiplex FISH could detect chromosomal abnormalities in the samples where CC failed or did not detect.Conclusion CC and multiplex FISH complement each other,and multiplex FISH can expand the information of FISH in one detection.Both of them provide important genetic data for the diagnosis and treatment of lymphoma.

关键词

荧光原位杂交/常规染色体检测/淋巴瘤/细胞遗传学异常

Key words

fluorescence in situ hybridization/conventional cytogenetic/lymphoma/cytogenetic abnormalities

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出版年

2024
中国血液流变学杂志
中国生物医学工程学会,苏州大学

中国血液流变学杂志

影响因子:0.391
ISSN:1009-881X
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