摘要
目的探讨淋巴结细针穿刺细胞学(fine needle aspiration cytology,FNAC)检查的病理特点及临床价值。方法采用回顾性分析方法,研究640例淋巴结FNAC病理特点,并结合临床诊断及病理组织学诊断结果进行比较分析。结果 640例中良性病变388例,特异性为93.3%;恶性肿瘤252例,敏感性为86.3%。假阴性率为4.1%,无假阳性病例出现,总准确率94.1%,穿刺成功率100%。结论 FNAC操作安全简便,对淋巴结病变具有较高的诊断价值,为临床诊断及治疗提供了可靠依据。
Objective To discuss pathological features and diagnostic value of fine needle aspiration cytology（FNAC） of lymph nodes.Methods The pathological features of 640 cases of FNAC of lymph nodes were analyzed and compare with clinical diagnosis and biopsy diagnosis.Results Of the 640 samples,388 were benign lesions,the specificity were 93.3%.252 were cancer,the sensitivity were 86.3%.The false negative rate were 4.1%,no false positive diagnosis was found,the overall accuracy of diagnosis were 94.1%,the success rates of the operation were 100%.ConclusionThe operation of FNAC is simple and safe.FNAC has high accuracy in diagnosing pathological changes of lymph nodes,it could provide the reliable evidence for clinical diagnosis and treatment.
出处
《西部医学》
2011年第12期2425-2426,2428,共3页
Medical Journal of West China
