恶性浆膜腔积液细胞学诊断分析

Analysis of Cytological Diagnksis of Malignant Serous Effusion

目的：探讨恶性浆膜腔积液细胞学诊断的准确性及临床病理学特征。方法：根据浆膜腔积液是否可见纤维蛋白凝聚物,分别采用离心方法与细胞采集器制片,收集经临床诊断或病理组织学诊断证实的644例恶性浆膜腔积液病例进行回顾性分析。结果：浆膜腔积液细胞学诊断阳性率95.3%,分型符合率89.6%;恶性浆膜腔积液多源于肺癌与卵巢癌,病理类型以腺癌最为多见。结论：恶性浆膜腔积液细胞学诊断准确率高,可为临床治疗提供依据,具有很高的应用价值。

Objective To evaluate the cytological diagnostic accuracy and clinical pathological features of malignant serous effusion. MethodThe centrifugal sedimentation or cellular collector was performed on serous effusion that was found of fibrin deposit or not, then644ca.ses with clinical diagnosis or postoperative histologic diagnosis were collected and analysed retrospectively. ResuitsThe positve and the type accordance rates of cytological diagnosis of malignant serous effusion were95.3%and89.6% respectively, malignant serous effusion were more origin may be the lung or ovarian, that pathological type were most genesis in adenocarcinoma. ConclusionThe cytological diagnosis has high sensitive accuracy in diagnosing malignant serous effusion, it can offer basis for clinical treatment, whereas it has highly clinical value.