淋巴细胞参数在识别外周血浆细胞中的应用价值
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海军军医大学附属长征医院

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国家自然科学基金项目(面上项目,重点项目,重大项目)


Application of lymphocyte positional parameters in screening peripheral blood plasma cell
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Department of Laboratory Diagnostics,Changzheng Hospital Affiliated to the Second Military Medical University

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    摘要:

    目的 探讨淋巴细胞相关参数在筛查外周血浆细胞中的应用价值。方法 将我院2019年5月到2020年4月间镜检发现浆细胞的28例患者标本作为浆细胞组,同期体检患者标本作为对照组,比较两组标本淋巴细胞相关参数的差异,同时比较浆细胞组淋巴细胞参数与循环浆细胞比例、MM蛋白及生化结果的相关性。结果 浆细胞组6个淋巴细胞参数与健康对照组相比具有显著差异(PLY-X<0.001,PLY-Y=0.002,PLY-Z=0.010 PLY-WX=0.003,P LY-WY <0.001,PLY-WZ<0.001),LY-X和LY-WZ在发现浆细胞中具有重要价值(AUCLY-X=0.922, AUCLY-WZ=0.962),联合预测因子AUC为0.972,其敏感度为97.1%,特异度为92.9%。淋巴细胞参数LY-Y与IgM线性相关(p<0.01)。Person相关系数为0.817(n=22, 95%可信区间[CI] 0.60,0.92)。 LY-Z与浆细胞百分比显著相关(p<0.01),Person相关系数为0.626(n=24, 95%CI 0.30,0.82)。结论 淋巴细胞参数在发现外周血浆细胞中具有重要价值。

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    Objective To investigate the significance of lymphocyte positional parameters in screening peripheral blood plasma cell. Methods In total 28 patients with circulating plasma cells, admitted to Changzheng Hospital from May 2019 to April 2020, were selected as research subjects for a retrospective analysis. Meanwhile, 140 healthy individuals who underwent physical examination were selected as the control group. We compared all lymphocyte positional parameters between the two groups. Correlation analysis was performed between lymphocyte positional parameters and the circulating plasma cell percentage, M protein, results of biochemical tests. Results There was significant difference between the plasma cell group and control group for 6 lymphocyte positional parameters(PLY-X<0.001,PLY-Y=0.002,PLY-Z=0.010 PLY-WX=0.003,P LY-WY <0.001,PLY-WZ<0.001). The lymphocyte positional parameters LY-X and LY-WZ had high sensitivity and specificity in screening plasma cell, with the ROC area under curve (AUC) being 0.922 and 0.962, respectively. The pooled AUC of the two indicators was 0.972. And the test had a sensitivity of 92.9% and specificity of 95.9%. LY-Y had significant linear correlation with the IgM(p<0.01). Pearson correlation of 0.817 (n=22,95% confidence interval [CI], 0.60,0.92). LY-Z had significant linear correlation with the circulating plasma cell percentage(p<0.01). Pearson correlation of 0.626(n=24, 95%CI 0.30 ,0.82). Conclusion The lymphocyte positional parameters have been suggested as useful means to screening peripheral blood plasma cell.

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姜连生,吴萍,张森森,樊笑霞,李畅,周琳.淋巴细胞参数在识别外周血浆细胞中的应用价值[J].临床检验杂志,2020,(10):764-766

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  • 收稿日期:2020-07-26
  • 最后修改日期:2020-11-10
  • 录用日期:2020-09-22
  • 在线发布日期: 2021-03-24
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