胸水内容物包埋制片在恶性胸腔积液诊断中的临床价值

The clinical value of pleural fluid embedding in the diagnosis of malignant pleural effusion

目的探讨胸水内容物包埋制片在恶性胸腔积液诊断中的临床价值。方法回顾我科2018-2019年间确诊为恶性胸腔积液、同时进行了胸水常规细胞学检查与胸水内容物包埋制片病例88例,比较胸水常规细胞学检查与胸水内容物包埋制片的确诊率。结果88例恶性胸腔积液患者行胸水常规细胞学检查确诊40例,确诊率45.45%;而进行胸水内容物包埋制片确诊68例,确诊率77.27%,差异具有统计学意义(P<0.05)。结论胸水内容物包埋制片对临床技术要求低,在病理诊断中能够获得更好的制片效果以及确诊率,有较高的临床应用价值。

Objective To explore the clinical value of pleural effusion embedding in the diagnosis of malignant pleural effusion.Methods A review of 88 cases of patients diagnosed as malignant pleural effusion in our department from 2018 to 2019 who underwent routine cytological examination of pleural effusion and prepared with pleural content embedding.To compare the diagnostic rate of routine cytological examination of pleural fluid with the method of embedding pleural fluid.Results Traditional methods of 88 patients with malignant pleural effusion with 40 patients with pleural effusion conventional cytology diagnosis,diagnosis rate was 45.45%,and chest water content embedding production method confirmed 68 cases of patients,diagnosis rate 77.27%,two groups of comparison,the chest water content embedding diagnosis rate of production method was obviously higher than that of hydrothorax conventional cytology(P<0.05),the difference is statistically significant.Conclusion The method of preparing pleural fluid with embedded contents has a low requirement on clinical technique,and it can obtain better preparation effect and diagnosis rate in pathological diagnosis,so it has a high clinical application value.