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介绍一种骨髓活检组织脱钙方法

Introduction of a decalcification method for bone marrow biopsy tissue

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骨髓活检是血液病理诊断的重要手段之一,对于多种良、恶性淋巴造血系统疾病均具有决定性的诊断意义,其诊断价值包括形态学观察,以及免疫组化、遗传学和分子生物学等辅助检测.由于骨髓活检组织本身的特殊性,脱钙是前期处理过程中必不可少的环节,其目的是将骨组织中钙盐去掉,保留完整的胶原纤维成分,以利于组织切片以及避免染色时掉片.如果骨髓活检脱钙不充分,则难以制片,但如果脱钙过度,又会严重破坏组织抗原活性,因此,一种脱钙效率高且抗原破坏小的脱钙方法对于临床病理骨髓活检十分重要.本文介绍一种高效且抗原破坏较小的骨髓活检组织脱钙方法:12%甲酸-8%盐酸脱钙液室温摇床脱钙,供广大同仁参考和指正.
Bone marrow biopsy is one of the important means of hematopathological diagnosis,which has decisive diagnostic significance for various benign and malignant lymphohematopoietic system diseases.Its diagnostic value includes morphological observation,immunohistochemistry,genetics,and mo-lecular biology testing.Owing to the unique nature of bone marrow biopsy,decalcification is an essential step in the pre-treatment process.Its purpose is to remove calcium from bone tissue,preserve intact colla-gen fiber components,facilitate tissue sectioning,and prevent tissue detachment during staining.If bone marrow biopsy lacks sufficient decalcification,preparing a section is difficult.Conversely,if decalcification is excessive,it can seriously disrupt tissue antigen activity.Therefore,a decalcification method with high de-calcification efficiency and mild antigen damage is essential for bone marrow biopsy.This article introduc-es a bone marrow biopsy tissue decalcification method with high efficiency and less antigen loss:decalcifi-cation is performed at room temperature with 12%formic acid and 8%hydrochloric acid decalcification so-lution on a shaker.

彭先稳、缐霂、班宁溥、孙琦

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中国医学科学院血液病医院(中国医学科学院血液学研究所),血液与健康全国重点实验室,国家血液系统疾病临床医学研究中心,细胞生态海河实验室,天津 300020

天津医学健康研究院,天津 301600

中国医科院医学与健康科技创新工程项目国家血液系统疾病临床医学研究中心临床研究基金

2022-I2M-1-0222023NCRCA0106

2024

中华血液学杂志
中华医学会

中华血液学杂志

CSTPCD北大核心
影响因子:1.17
ISSN:0253-2727
年,卷(期):2024.45(4)