摘要
对肺部有肿块,而胸片、痰液以及支气管镜检查未能明确其性质的108例患者,行经皮细针肺穿刺之细胞学诊断分析。108例中,22例仅作单纯细胞学诊断,86例有外科手术切除标本之病理、超微结构或其它化验检查证实。肿块直径为1cm～5cm。细胞学与手术切除标本或活检的病理诊断的符合率为93.0%(80/86),假阴性3例,假阳性3例。文中对各种不同病变的细胞学特征,假阴性和假阳性的原因以及经皮细针肺穿刺的实用价值进行了分析讨论。
One hundred and eight patients were found to have the neoplas-ms in their chest films but had not defined the quantity of the neo-plasms clearly under the chest roentgenography, sputum and bron-choscope examinations, percutaneous fine needle aspiration biopsies oflung lesions were made fot diagnosis and analysis. Of them, 22 caseswere diagnosed simply with the cytology, and the others were deter-mined with the pathologic hiotology, ultra structure or other exa-minations, with the minimal diameter of neoplasms of 1 cm, themaximum for 5 cm. The correspondence rate between the cytologynadbicpby was 91.96%(80/86). Among them, the pseudo-negative 3 cases and the pseudo-positive 3 cases. The correspondence rates of theclassification in the cytology and histology were as follows. 73.9%(17/23) of adenocarioma, 83.3%(5/6) of small cell undifferential carcinoma,100%(5/5) of the other neoplasms, 88.4%(23/26) of inflammations(including inflammatorg pseudoma). The characteristics of variantpathologic changes, the causes of pseudo-negative and pseudopositiveand the practical value of percutaneous fine needle aspiration of lunglesions were discussed.
出处
《临床与实验病理学杂志》
CAS
CSCD
北大核心
1991年第1期26-28,41,共4页
Chinese Journal of Clinical and Experimental Pathology
关键词
经皮肺穿刺
细针
细胞学
检查
诊断
percutaneous aspiration lung
fine-needle
cyctology
correspondance rate
