纳纳卡利埃尔比勒医院急性髓系白血病诱导治疗后疗效观察

Ashqi Mohammed Kareem, Nawsherwan Sadiq Mohammad
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摘要

背景:成人急性髓性白血病占全部急性白血病病例的80%;它的频率随着年龄的增长而逐渐增加。目的:了解埃尔比勒市AML患者的临床及血液学指标。患者与方法:对29例急性髓性白血病患者的住院记录进行回顾性分析。对埃尔比勒市纳纳卡利医院2002 -2022年期间的病例进行了分析和实现。诊断依据外周血和骨髓报告。细胞化学证实髓系起源,根据(FAB)标准进行形态学分型,生化试验,流式细胞术进行簇cd。使用Microsoft excel version 2010和GraphPad Prism 9.0进行统计分析。结果:本研究纳入男性18人,女性11人。年龄从5岁到80岁不等,平均年龄38.4岁。CD13和CD33是表达最多的CD标记物(分别为75%和70%)。CD22和TdT表达CDs最低(分别为10%和5%)。根据完全缓解/部分缓解相关性,血小板P值显著(0.0207),CD64和CD117更显著(分别为<0.0001, <0.0001), BM高细胞碎片(P=0.0068),试验(P<0.0001)和blast百分比(P=0.0365)。结论:cd和BM结果是鉴别AML的重要工具。CD13和CD33是本研究中最常见的cd。骨髓基质的形态学评估具有统计学意义,骨髓基质的细胞数量和细胞百分比与AML患者诱导后反应显著相关。关键词:急性髓母细胞白血病,免疫分型,骨髓报告,流式细胞术和CD标记物
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Outcome of Post Induction Therapy for Acute Myeloid Leukemia in Nanakaly Hospital-Erbil
Background: Acute myeloid leukaemia in adult constitutes 80% of whole acute leukaemia cases; its frequency progressively increases with age. Objective: To evaluation the parameters of AML patients clinically and haematologically in Erbil City. Patients and Methods: A particular analysis of hospital records retrospective study of 29 patients with AML was taken on. The cases were analyzed and achieved at Nanakaly hospital in Erbil city during the years 20021-2022. Diagnosis was established on peripheral blood and bone marrow reports. The myeloid origin confirmation was concerned by cytochemistry, morphological subtyping was concerned according to the (FAB) criteria, biochemical tests, and cluster CDs was done by flowcytometery. Microsoft excel version 2010 and (GraphPad Prism 9.0.) was in employment for carrying out statistical analysis. Results: This study included 18 males and 11 females. Their ages ranged from 5 and 80 years with a mean age of 38.4 years. CD13 and CD33 are most expressed CD markers (75% and 70% respectively). CD22 and TdT lowest expressed CDs (10% and 5% respectively). Depending on the complete remission/Partial remission association, the p-value of platelets was significant (0.0207), CD64 and CD117 showed greater significant (<0.0001, <0.0001 respectively), BM hypercellularity fragments (P=0.0068), trials (P<0.0001), and blast percentage (P=0.0365). Conclusion: CDs and BM results are essential tools in the identification of AML. CD13 and CD33 are the most frequent CDs in this study. Morphologic valuation of BM was statistically significant, cellularity of BM and blast percentage was significantly correlated with post induction response in patients with AML. Keywords: Acute Myeloblastic Leukemia, Immunophenotyping, bone marrow reports, Flow Cytometry and CD Markers
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