摘要
目的:了解胸水脱落细胞学检查在恶性胸腔积液(malignantpleuraleffusion,MPE)诊断中的临床意义。方法:对98例已确诊的MPE患者的临床病历进行分析,总结胸水脱落细胞学检查的阳性率,并对不同类型肺癌诊断意义进行比较。结果:98例MPE中,胸膜间皮细胞瘤1例,肺癌98例(腺癌59例、鳞癌17例、未分化小细胞肺癌5例、腺鳞癌2例、未分型者15例)。胸水脱落细胞学检查对98例MPE确诊47例,阳性率为47.95%;其中腺癌32例,鳞癌3例,小细胞肺癌2例,未分型者9例,胸膜间皮细胞瘤1例。结论:病理组织学检查是确诊MPE的“金”标准,尤其胸水细胞学检查,是临床上操作简便,无创伤性或创伤性小。
Objective:To study the diagnostic value of exfoliative cytologic determination (ECD)in malignant pleural effusions(MPE).Mathods:Ninety eight cases of MPE were analysed in order to sum up the positive rate of exfoliated cell detected by ECD and to compare the value of ECD in diagnosis of different classificatory lung cancers.Results:Of the 98 cases of MPE,one was caused by pleural mesothelioma,and the others were by lung cancers,including 59 cases of adenocarcinoma,17 squamous cell carcinoma,5 small cell lung cancer,2 adenosqualmous carcinoma,and 15 non classification.Forty seven of the 98 patients with MPE were confirmedly diagnosed as having lung cancers,including 32 cases of adenocarcinoma,3 squamous cell carcinoma,2 small cell lung cancer,9 non classification,and 1 pleural mesothelioma,the positive rate being 47.95%.Conclusion:The exfoliative cytologic determination was an important means for clinical work, which is sample,rapid,non wounded and little wounded.
出处
《承德医学院学报》
1999年第4期327-330,共4页
Journal of Chengde Medical University
