Do bone puncture needles have to be done for leukemia? What is the use?

Diagnosis and treatment of blood diseases usually requires a "bone marrow aspirate". Whenever a doctor recommends a patient to do a "bone marrow biopsy", most patients, including their family members, will feel confused and fearful: Will the "bone puncture" cause harm to themselves? Will there be serious sequelae? Some people even think that bone piercing will cause hemiplegia? More of a fear of whether the "penetrating bone examination" will be very painful? All kinds of doubts and fears make patients or their family members tend to reject and avoid them, delaying the diagnosis and treatment of certain diseases. The root cause is that everyone lacks understanding of the "bone puncture" examination and its importance. Lu Shiyun's "Bone marrow biopsy" is a common and reliable method for diagnosing blood diseases. Extraction of bone marrow fluid through "bone piercing" for bone marrow cell morphology, histochemistry, cytogenetics and ultrastructural examination, bone marrow stem cell culture, bacterial culture and parasite examination plays a very important role in the diagnosis and treatment of blood system diseases It can have decisive diagnostic value for various types of anemia, various blood diseases, myelodysplastic syndromes, myeloma, etc. It is helpful for the examination of long-term unexplained febrile diseases, lymphadenopathy, and multiple etiologies. It is also used to judge the curative effect and prognosis of various blood diseases, aplastic anemia, etc. Compared with some other invasive tests, bone marrow aspiration is quite safe. Some people tend to confuse it with the risky "lumbar puncture". These are two completely different examinations, and their puncture sites and indications are very different. "Lumbar puncture" is to accurately insert the probe into the spinal cord cavity, measure the cerebral pressure and obtain the cerebrospinal fluid sample for the corresponding laboratory examination, which is very demanding on the operator. The "bone puncture" is to insert a puncture needle into several protruding bone nodules on the surface of the human body, and extract a small amount of bone marrow fluid for smear and other examinations, which will basically not damage the internal organs and cause sequelae. The main parts of the puncture are the anterior superior iliac spine and the posterior superior iliac spine of the human pelvis, both sides can be used. It can be easily touched by most people. Osteotomy of the sternum may be required in a few special cases. The inspection and puncture process is not complicated, and every doctor has received special training and can successfully complete the bone puncture operation process. "Bone puncture" is mostly done in a special bone marrow puncture room, and a few special patients can also be performed at the bedside. Strict aseptic operation standards were adopted in the process, and lidocaine was used as local anesthesia. Most of the patients had no obvious pain during the puncture process, mainly a feeling of soreness and a transient tingling pain during suction. A physician who is proficient in "osteotomy" can complete the operation within 3 to 5 minutes. The punctured needle eye is similar to the needle eye for intramuscular injection. After applying a little pressure, you can move freely within a few minutes. Judging from the bone puncture performed by our department of hematology over the years, there has not been any patient with obvious discomfort. Occasionally, due to some special reasons (such as blood thinning), it is necessary to repeat the puncture several times to provide reliable diagnostic value. "Bone puncture" examination is simple and easy to perform, and it will never cause serious harm to patients as most people imagine, and it is an examination method that plays an important role in the diagnosis and treatment of blood diseases. You should listen more to the opinions of specialists, which will not only help you in the diagnosis and treatment of your disease, but also help you avoid detours in the process of diagnosing and treating the disease. A clear diagnosis, judging the curative effect, so that the disease can be effectively and timely treatment.

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