143例涎腺肿块细针穿刺细胞学诊断分析

Fine-Needle Aspiration Biopsy of Salivary Glands Masses in 143 Cases

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.