200例体表淋巴结细针穿刺细胞学诊断的分析

Analysis of 200 case superfical lymph nodes fine-needle aspiration cytological diagnosis

目的：探讨细针穿刺（FNAC）对体表淋巴结诊断的细胞学涂片特点及临床应用价值。方法：对200例体表可触及的增大淋巴结细针穿刺涂片，瑞-姬氏染色，对其细胞学特点进行分析。结果：200例肿大淋巴结以转移性癌、淋巴结炎和淋巴结结核为主，细针穿刺细胞学诊断符合率达92.5%（185/200），难以诊断病例占5%（10/200），穿刺成功率100%。结论：体表淋巴结穿刺操作简单安全，能为临床做出快速筛选诊断，减少不必要的淋巴结切检，具有重要的临床意义。

Objective：To explore the features and clinical values of fine- needle aspiration （FNAC） and cytological smear in su-perficial lymph nodes. Methods：FNAC cytological smear was conducted for 200 cases of lymph nodes which showed palpable big-ger. Wright Giemsa was stained, and the features of fine- needle aspiration cytology were analyzed. Results： We found that the swelling lymph node needie of 200 cases mainly included lymph node metastatic cancer, lymphadenitis, tuberculoid lymohadenitis. The diagnosis rate was 92.5% （185/200）, the non- definetedly diagnosed rate was 5% （10/200）, and the successfully aspirated rate was 100% by FANC. Conclusion： The operation of FNAC is simple and safe. It could present the evidence for initial clinical diagnosis and reduce the unnecessary lymphadenectomy, and is important for the clinical diagnose.