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论文摘要

多参数流式细胞术在急性髓细胞白血病患者微小残留病监测中的临床应用及其研究进展

Clinical application and research progresses of multi-parameter flow cytometry in detection of minimal residual disease in patients with acute myeloid leukemia

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收稿日期:2019-09-10          年卷(期)页码:2020,43(02):160-164

期刊名称:国际输血及血液学杂志

Journal Name:International Journal of Blood Transfusion and Hematology

关键字:白血病,髓样,急性,流式细胞术,免疫表型分型,复发,微小残留病

Key words:Leukemia, myeloid, acute|Flow cytometry|Immunophenotyping|Recurrence|Minimal residual disease

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中文摘要

急性髓细胞白血病(AML)是一种具有高度异质性的血液系统恶性肿瘤,大部分AML成年患者经治疗可达到完全缓解(CR),然而相当一部分患者在3~5年内复发。由于微小残留病(MRD)与AML患者复发风险增加,以及生存期缩短有关,因此需要通过有效手段对AML患者进行治疗后MRD监测。多参数流式细胞术(MFC)是一种基于白血病相关免疫表型(LAIP)的MRD检测方法,具有高灵敏度、高性价比,以及实时、快速等优点,适用于绝大部分AML患者,被广泛应用于临床实践中。笔者拟就目前应用MFC监测AML患者MRD的原理及策略、优势及临床意义、面临的挑战及其临床应用的促进方法等进行综述。

英文摘要

Acute myeloid leukemia (AML) is a highly heterogeneous hematological neoplasm. Majority of AML adults achieve complete remission (CR) although current treatment, but a significant proportion of them relapsed within 3-5 years. The presence of minimal residual disease (MRD) has been associated with an increased risk of relapse and shortened survival. Therefore, it is necessary to conduct post-treatment MRD monitoring of AML patients through effective methods. Multi-parameter flow cytometry (MFC) is a MRD detection method based on leukemia-associated immunophenotypes (LAIP), which has many advantages such as high sensitivity and high cost performance, real-time and fast. It is applicable to almost all AML patients and widely used in clinical practice. This paper introduces the principles, analysis strategies, advantages, clinical significance, challenges and promotion methods of application of MFC-MRD detection in patients with AML.

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