检验医学 ›› 2001, Vol. 16 ›› Issue (01): 8-912.

• 论文 • 上一篇    下一篇

28例多发性骨髓瘤的血清免疫学分析

缪丽韶%喻雄文   

  1. 中山市人民医院检验中心,%中山医科大学附属第一医院检验部,
  • 收稿日期:2001-01-01 出版日期:2001-01-01 发布日期:2001-01-01
  • 通讯作者: 缪丽韶

Seroimmunological analysis of 28 multiple myeloma cases

  • Received:2001-01-01 Online:2001-01-01 Published:2001-01-01

摘要: 目的 探讨多发性骨髓瘤(multiplemyeloma,MM)的血清免疫学特征。 方法 对28例MM患者的血清进行琼脂糖凝胶电泳及电泳扫描,血清蛋白和免疫球蛋白定量,以及免疫固定电泳。 结果 27例(96.4%)MM患者血清蛋白电泳可显示M带,IgG型、IgM型多在γ区,IgA型多在β区。不同型别MM免疫固定电泳图谱各异,IgG、IgA、IgM和单纯游离轻链的比例分别为46.4%、21.4%、17.9%、10.7%。在轻链型别中,IgG、IgM类M蛋白以κ型为主,单纯轻链型以λ型为主。免疫球蛋白定量显示M蛋白所属免疫球蛋白部分显著增高,非M蛋白所属免疫球蛋白显著降低。 结论 通过上述四种免疫化学综合实验对MM进行免疫分型,可对MM作出准确的实验室诊断。

关键词: 多发性骨髓瘤, 免疫固定电泳, 免疫分型

Abstract: Objective To study the seroimmunological features of mutiplemyeloma(MM). Methods 28 serum samples of MM patients were analyzed by agarose gel electrophoresis and electrophoretic scanning, quantitative measurement of serum protein and immunoglubulins, and immunofixation electrophoresis. Results M bands appeared in 96.4%serum sample, in which IgG、 IgM appeared in γ zone and IgA appeared in β zone. The figure of immunofixation electrophoresis varied from types to types of MM, IgG, IgA, IgM and free light chain accounted for 46.4%, 21.4%, 17.9%and 10.7%respectively in all of the M protein. By classification of the light chain types, M proteins of IgG and IgM were mainly κ type, and the light chain types were λ type. Part of the concentration of immonoglobulin which contains monoclonal component increased significantly. Conclusions An overall consideration of the laboratory results from above methods is helpful in making a more accurate laboratory diagnosis for patients with multiple myeloma.

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