摘要
对143例涎腺肿块患者,运用细针穿刺吸取细胞的方法进行细胞学检查。结果:143例涎腺肿块细胞学检查结果中113例与术后病理学检查结果相符,准确率为79.02%,误诊率为20.98%。诊断为良性肿瘤128例,其中103例与术后病理诊断相符;准确率为80.47%;恶性肿瘤3例,均与病理诊断相符,非肿瘤性疾病12例,其中7例与病理诊断相符,准确率为58.33%。本文分析了细针穿刺吸取细胞作细胞学检查诊断涎腺肿块误诊的原因。该方法简便,结果较可靠,对制定正确的治疗方案有一定帮助。
patients with clinically manifest masses of the salivary glands were assessed with fine-needle aspiration(FNA)biopsy before surgery,The preoperative FNA diagnoses were compared with the post-operative pathologic findings.The overall diagnostic accuracy of FNA was 79.02%.FNA was more sensitive in identifying malignant neoplasm(100%)than in identifying benign neoplasm(80.47%)and was least sensitive in identifying non-neoplastic salivary diseases(58.33%).The cause of misdiagnosis and the limitations of the method were also disscussed.It is suggested that FNA is a reliable diagnostic method which can offer helpful information for treatment.
出处
《同济医科大学学报》
CSCD
北大核心
1995年第2期129-131,共3页
Acta Universitatis Medicinae Tongji
关键词
涎腺肿瘤
肿块
细胞诊断
穿刺术
salivary gland
masses
fine-needle aspiration
biopsy diagnosis