小空针低负压针吸细胞学检查诊断附睾疾病的价值

Value of Small Needle and Low Negative Pressure Needle Aspiration Cytological Examination in Diagnosis of Epididymis Disease

目的探讨小空针低负压针吸细胞学对附睾肿瘤诊断的价值，并对其细胞学形态特征进行分析。方法回顾性分析208例小空针低负压针吸细胞学检查附睾疾病且经组织病理活检、免疫组织化学及免疫学分型证实的·临床资料。结果208例附睾肿块中，针吸细胞学直接诊断202例，诊断符合率97．12％，误诊率2．88％。结论小空针低负压针吸细胞学检查附睾疾病的技术操作简便、对患者创伤小，获取标本满意，能够明显提高附睾疾病诊断的准确性，对临床早期诊断治疗具有重要的应用价值。

Objective To discuss the value of small needle and low negative pressure needle aspiration cytological examination in diagnosis of epididymis tumor,with the analyzing of its morphological characteristics in cytology. Methods Analyzed 208 cases of clinical data which had been undertaken with small needle and low negative pressure needle aspiration cytological ex- amination and confirmed by histopathologic biopsy,immunohistochemieal method and immunologic typing retrospectively. Results From 208 cases of epididymis tumor, 202 were direct diagnosed by needle aspiration cytology, with the diagnose was coincidence rate 97.12% and the misdiagnosis rate 2.88%. Conclusion Small needle and low negative pressure needle aspiration cytological examination has the advantage of its convenient operation, small trauma to patients, convenient access to samples and improving the accuracy of the epididymis disease diagnosis remarkably, and it is of great value in clinical early diagnosis and treatment of epididymis disease.