检验医学 ›› 2013, Vol. 28 ›› Issue (7): 618-620.DOI: 10.3969/j.issn.1673-8640.2013.07.014

• 技术研究与评价.论著 • 上一篇    下一篇

外周血淋巴细胞染色体G显带技术的改良

莫凤明, 杨丽华, 张 璐   

  1. 河池市人民医院检验科, 广西 河池 547000
  • 收稿日期:2013-07-29 修回日期:2013-07-29 出版日期:2013-07-25 发布日期:2013-07-29
  • 作者简介:莫凤明,女,1977年生,学士,主管技师,主要从事优生遗传研究。

Improvement of G banding technique for chromosome of peripheral blood lymphocytes

MO Fengming,YANG Lihua,ZHANG Lu   

  1. Department of Clinical Laboratory, Hechi People′s Hospital, Guangxi Hechi 547000, China
  • Received:2013-07-29 Revised:2013-07-29 Online:2013-07-25 Published:2013-07-29

摘要: 目的 探讨外周血淋巴细胞染色体吉姆萨(Giemsa)显带技术(G显带技术)的改良,提高G显带效果,并能节约时间,进一步提高染色体诊断效率。方法 250例疑似患者用常规方法进行外周血淋巴细胞培养及制片、烤片,用0.05%胰蛋白酶工作液消化20 s,Giemsa染液染色,并与0.025%胰蛋白酶工作液消化时间5~6 min的常规显带方法对比。结果 改良方法的标本片带纹清晰,深浅带反差突出,合格率98%,最佳率72.8%,而常规方法合格率98%,最佳率44.8%,2种方法在得到最佳片数上差异有统计学意义(P<0.01)。结论 应用改良技术可缩短染色体制片时间,又能达到最佳效果,同时为工作人员节约时间,及早出结果,可提高临床对染色体病诊断效率,因此本改良方法是值得推广的实验方法。

关键词: 染色体, G显带, 改良, 外周血淋巴细胞, 胰蛋白酶

Abstract: Objective To investigate the improvement of Giemsa banding technique (G banding technique) for chromosome of peripheral blood lymphocytes, and improve the effects of G banding, save time and further improve the efficiency in the diagnosis of chromosome. Methods For 250 suspected patients, cultivation and smear production of peripheral blood lymphocytes were carried out by routine method. Peripheral blood lymphocytes were digested in 0.05% trypsin working solution for 20s, and stained by Giemsa. The results were compared with the routine banding technique digested in 0.025% trypsin working solution for 5-6 min. Results Specimen by improved method presented clear band and repeated prominent shade band, with 98% of pass and 72.8% of optimal ratio, while the routine method achieved 98% of pass and 44.8% of optimal ratio. Two methods had statistical significance in optimal ratio (P<0.01). Conclusions The application of improved technique not only shortens time for smear production of chromosome and achieves optimal effects, but also saves time for staffs, and shows results as soon as possible, improving efficiency in clinical diagnosis of chromosome diseases. Therefore, this improved method is worthy of publicity.

Key words: Chromosome, G banding, Improvement, Peripheral blood lymphocyte, Trysin

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