浆膜腔积液恶性细胞学检查分析

Malignant Effusion Cytology Analysis

目的探讨浆膜腔积液细胞学检查对恶性肿瘤的诊断价值及影响阳性率的因素。方法回顾分析739例浆膜腔积液的细胞学诊断，对照病理组织学及临床诊断，分析其诊断价值。结果739例浆膜腔积液中，发现恶性肿瘤细胞163例、可疑13例．阳性率22．1％，经病理组织学证实176例全部为恶性肿瘤。原发灶为肺癌的最多．占42．6％．细胞类型以腺癌居多，为84．0％。结论浆膜腔积液细胞学检查简便快速、准确可靠；可作为恶性肿瘤的早期筛查手段。

Objective To investigate the value of effusion cytology in the diagnosis of cancer and the factors that affect the positive rate.Methods We retrospectively analyse 739 cases of serous effusion cytology, in contrast with clinical diagnosis and histopathology, and analysed its diagnostic value.Results Among 739 cases of serous effusion,we found 163 cases with malignant cells,suspicious in 13 cases,positive rate of 22. 1%,confirmed by histopathology that all of these 176 cases were malignant tumors.The primary tumor to lung cancer was the most, accounting for 42.6%,cell type to adenocarcinoma constituted the majority, taking up 84.0%.Conclusion Effusion cytology is simple,rapid, accurate and reliable and it can be used as early cancer screening tool.