针吸细胞学与组织学诊断对照及临床应用研究  

The investigation of diagnosis and clinical application fine-needle aspiration cytology

作　　者：张闽峰[1] 刘会发[1] 林福地[1] 孟家榕[1] 

机构地区：[1]第175医院

出　　处：《南京部队医药》2002年第1期5-7,共3页

摘　　要：目的 旨在进一步提高针吸细胞学诊断的准确率。方法 回顾我院近13年行针吸细胞学诊断的1万份(例)中资料完整和有1893例进行对照分析。在操作中实行“一体化”的工作程序,并与临床表现和X线检查结果相结合。结果 符合者1767例,准确率93.3％,不符合者126例占6.7％,头颈部、乳腺、胸腹腔内肿块,和软组织骨肿块的准确率分别为93.9％(914/973),93.2％(444/476),90.3％(141/156),和93.0％(268/288)。结论 细针穿刺细胞学检查(FNAC)是医学领域中一项重要的诊断和术前常规检查的手段之一,其准确率高。方法简便,适用于基层医疗机构。Objective To improve the diagnostic accuracy of fine-needle aspiration cytology (FNAC). Methods 10000 cases of FNAC were analysized retrospectively during past 13 years and 1893 cases of those were studied by histological manifestation and X-ray features. Results The rate of diagnostic accuracy of FNAC was 93. 3% (1767/1893) and she odds ratio was 6. 7% (126/1893). The diagnostic accruacy rates for masses on head or in neck, breast, thorax or celiac and parenchyma or osteal were 93. 9%(914/973), 93. 25^(444/476), 90. 3%(141/ 156) and 93. 0% (268/288), respectively. Conclusion FNAC may be one of the important diagnostic methods. It may be applied in county medical units for its easly manipulation and high rate of diagnostic accusaly.

关 键 词：应用研究 活组织检查 针吸 

分 类 号：R9[医药卫生—药学]