腹腔穿刺细胞学检查诊断卵巢恶性肿瘤的评价

Evaluation of Transabdominal Puncture Cytology in Diagnosis of Ovarain Malignant Tumorsia Evaluation

１３８例疑为卵巢恶性肿瘤（ＯＭＴ）和与其难以鉴别诊断的非肿瘤性疾病经腹或后穹窿行腹腔穿刺细胞学（ＴＡＰＣ）检查，检查结果与病理组织学诊断对照。９３例阳性中９２便病理诊断为０ＭＴ，准确率为９８．９％；４３例阴性中４１例为良性疾病，准确率为９５．７％；２例为假阴性，假阴性率为４．７％。ＴＡＰＣ检查结果全面准确率为９７．８％（１３３／１３６）。认为盆腔内诊断不明的固定性肿块、结节以及腹水是ＴＡＰＣ检查的指征。倘若ＴＡＰＣ检查结果阳性，诊断性腹腔镜检查和剖腹探查可免除进行。ＴＡＰＣ检查对诊断和鉴别诊断ＯＭＴ不仅准确性高，而且操作简便、安全、迅速，是临床实用的检查方法。

ransabdominal puncture cytology(TAPC)was performed on 138 patients suspected toovarian meligment Tumors(OMT)and diseases diffented difficultelly from OMT olinically.The TAPC results revealde: 93 were positive and 92 of them were histologycally OMT(theaccurary was 98.9%);43 were negative and 41 of them were diagnosised histologcally of be-nign diseases(the accuracy 95.3%)and 2 patients of false-negative TAPC were OMT Looal-ly. The overall accuracy of TAPC was 97.8%(133/136).In this group,it was indecation of the TAPC detection for pelvic fixed masses,nodes,ascites diagnosised incapable clearlly. If the TAPC resoults were positive laparoscopy blopsyand laparotomy for diagnosis may be omitted.The TAPC is a simple,safe,rapid,acourate,reliable procedure for diagnosis and differentiation of OMT.