Know these before doing a bone marrow biopsy for blood diseases!
May 10, 2022
Bone marrow aspirate is essential in the examination and diagnosis of many hematological diseases, especially the malignant disease such as leukemia. Bone marrow aspirate is a must. Although you don't need to worry about the health effects of bone marrow puncture on the patient's body, in the development of the patient's disease, whether bone puncture is required and whether bone puncture can be performed depends on the specific situation.
The following tells you under what circumstances a bone biopsy is required: 1. Suspected leukemia, lymphoma, multiple myeloma, plasma cell disease, myelodysplastic syndrome, etc., unexplained leukocytosis or decrease, unexplained anemia or Polycythemia, unexplained thrombocytopenia or persistent thrombocytosis, etc. 2. Those who have been diagnosed with leukemia, lymphoma, multiple myeloma, MDS and other diseases, need to evaluate the curative effect after treatment. 3. Other diseases: such as persistent unexplained fever, certain infectious diseases, etc.
Generally speaking, bone marrow aspiration has no effect on human health. However, bone marrow puncture is different from venous blood sampling. Broadly speaking, bone puncture is also one of the traumatic examinations. Weighing the pros and cons, for suspicious patients, it is necessary to actively cooperate with bone marrow biopsy. Bone marrow aspirate is one of the most commonly used operations in hematology and even internal medicine, but for some patients with the following two conditions, bone marrow aspirate cannot be performed. 1. Clearly diagnosed more severe hemophilia. 2. Those with infection foci in the puncture site.
In addition, in the process of bone marrow biopsy, everyone should pay attention to the following points: 1. It is best to take a bath in advance and perform local cleaning. 2. Bone marrow puncture does not require fasting and can eat normally. 3. Outpatient bone piercing does not require hospitalization, and can be done in the outpatient treatment room or bone piercing room. 4. Local anesthesia is generally required during bone puncture, and lidocaine injection is generally used, which is not particularly painful. 5. The bone piercing is usually completed in a few minutes to ten minutes. After the operation, you can leave the examination room and keep the local puncture site dry and clean for 2-3 days. 6. Bone puncture is only the process of extracting bone marrow. The key is that doctors should select further inspection items according to the condition, such as: bone marrow cytology examination, bone marrow cell histochemical staining, bone marrow biopsy pathological examination, bone marrow cell flow cytometry immunophenotyping , chromosomal analysis of bone marrow cells, genetic examination of bone marrow cells, in vitro culture of bone marrow cells, special bone marrow pathogenic examination, etc. Due to different inspection items, the cost is different, and the inspection time required is also different. 7. Bone piercing sites are mostly: anterior superior iliac spine, posterior superior iliac spine, sternum, etc.
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