浅表淋巴结穿刺细胞学在病理诊断中的分析

Analysis of superficial lymph node biopsy cytology in the pathological diagnosis

目的:探讨浅表淋巴结穿刺细胞学在诊断中的应用价值。方法:2012年1-12月收治浅表淋巴结穿刺患者120例。采用穿刺与活检对照的方法对浅表肿大淋巴结病因以及穿刺涂片细胞学的特点进行对照分析。结果:120例浅表淋巴结穿刺患者中良性病变70例,淋巴结转移癌50例,其中,在中老年患者中颈部淋巴结转移癌比较多见,大部分颈部淋巴结肿大来源于鼻咽部、肺、食管、甲状腺等部位反应性或转移性病变。结论:浅表淋巴结肿大可用细针穿刺细胞学涂片法作为疾病的早期诊断,从而为临床早期治疗提供依据。浅表淋巴结细针穿刺法具有操作简便、费用低、患者痛苦小、准确率高的优点。

Objective:To explore the application value of superficial lymph node biopsy cytology in the diagnosis.Methods:120patients with superficial lymph node biopsy were selected from January to December 2012.The etiology of superficial swollen lymph nodes and the characteristic of biopsy smear cytology were contrastly analyzed by using puncture and biopsy method.Results:In 120 patients with superficial lymph node biopsy,70 cases were benign lesions,and 50 cases were lymph node metastasis carcinoma.Among them,the cervical lymph node metastatic carcinoma was seen more in middle and old age patients.The most swollen cervical lymph nodes were from the nasopharynx,lung,esophagus,thyroid and other parts of reactive and metastatic lesions.Conclusion:The superficial swollen lymph nodes can be used fine needle puncture cytological smear method as the early diagnosis of the disease,and it provides evidence for clinical early treatment.The superficial lymph node needle puncture method has the advantages of simple operation,low cost,little pain of patients,high accuracy.