摘要
目的探讨细胞学技术要点,以提高恶性胸腹水的诊断率。方法回顾性总结分析658例胸腹水细胞学诊断结果并进行相关分析。结果658例胸腹水标本中共检出恶性细胞149例。后经临床和其它方法证实161例,诊断符合率92.5%(149/161)。其中94例恶性胸水中,肺癌73例(77.7%)、乳腺癌7例(7.4%);55例癌性腹水,消化道肿瘤占27例(49%)、卵巢癌23例(41.8%)。结论开展胸腹水细胞形态学检查十分重要,其结果快速、准确可靠、费用经济。取材制片的质量是提高检出率的关键。
[Objectives] To explore the cytological diagnostic technique and improve the diagnostic accuracy of serous effusions. [Methods] Six hundred and fifty-eight serous fluids samples were analyzed retrospectively. [Results] In 658 patients with serous fluids, 149 patients were found tumor cells, 161 patients were certified malignancy by clinical source and other methods, with the accuracy of 92.5% （149/161）. In 149 patients wih malignant serous effusions, 94 were pleural effusions, including 73 lung cancer （77.7%）, 7 mammary cancer （7.4%）; 55 were malignant ascites, including 27 gastrointestinal carcinoma （49%） and 23 ovarian carcinoma （41.8%）. [Conclusion] Serous fluids cytology is a rapid, accurate and econimic technique. Sampling and slice making is the key procedure to improve the diagnostic accuracy.
出处
《中国现代医学杂志》
CAS
CSCD
北大核心
2006年第16期2503-2504,2507,共3页
China Journal of Modern Medicine
