Needle Biopsy of Bone Marrow in Children

小兒骨髓穿刺活組織檢查

黃德揚(Teh-Yang Huang)

《Acta Paediatrica Sinica》 15卷4期 (1974/12) Pp. 150-165

摘要

在小兒種種疾病中，往往可見到不同程度之骨髓變化，而且這些變化在疾病診斷上多屬重要。因此，骨髓檢查係爲臨床上常用檢查之一。慣用之骨髓檢查方法爲骨髓吸引法，然而骨髓吸引法用有其短處，所以著者曾嘗試用小宮式骨髓穿刺針及Vim-Silverman氏肝臓穿刺針相配合，做小兒骨髓穿刺活組織檢查。
著者將住進高雄醫學院小兒科病兒87例，做骨髓穿刺活組織檢查，並將其檢查結果及骨髓組織變化所見提出報告。
結果著者認爲用小宮式骨髓穿刺針及Vim-Silverman氏肝臓穿刺針相配合，在小兒腸骨部位做骨髓穿刺活組織檢查，具有安全，簡便及容易把握骨髓變化之全貌等優點，而且可避免因骨髓組織之高度破壞，末梢血液滲侵於骨髓標本或乾抽(dry tap)等所引起之診斷上的困擾。

並列摘要

Needle punch biopsy of the bone marrow was performed by Komiya's sternal puncture needle combined with Vim-Silverman biopsy needle in 87 children with blood diseases and other diseases. Histological pictures of the bone marrow biopsy specimens of some diseases are demonstrated. Simplicity, safty and usefulness of this procedure, particularly for evaluating the cellularity and architectural relationships are pointed out. This technique can not entirely replace the need for formal surgical biopsy and usual aspiration of bone marrow. The combined use of needle punch biopsy and aspiration is useful in bone marrow studies.