食管癌胸腔冲洗液细胞学检查的临床意义  

Clinical significance of pleural lavage cytology in patients with esophageal carcinoma

作　　者：李加[1] 李建新[1] 梁定岸[1] 马有新[2] 刘伦旭[3] 

机构地区：[1]广东医学院第二附属医院胸外科,广东湛江524003 [2]广东医学院第二附属医院胸病理科,广东湛江524003 [3]四川大学附属医院胸外科

出　　处：《中国基层医药》2005年第5期560-561,共2页Chinese Journal of Primary Medicine and Pharmacy

摘　　要：目的探讨术前无胸腔转移表现的食管癌患者手术时胸腔冲洗液细胞学检查(PLC)的阳性率及其相关因素。方法141例食管癌患者在行根治术时,分别于开胸后未作任何胸内操作前及切除病变断端食管吻合完毕后冲洗胸腔,收集细胞冲洗液并做细胞学检查。结果前、后两次PLC阳性率分别为29.08%(41/141)、18.44%(26/141)。PLC阳性率与肿瘤的大小、部位、分化程度、浸润深度等均无相关,与冲洗时机的不同有相关。结论选择开胸后未作任何胸内操作前进行PLC检查更为合理。Objective To evaluate the positive rate of pleural lavage cytology(PLC) and its related factors in patients with esophageal carcinoma without pleural effusion.Methods 141 patients with esophageal carcinoma undergoing thoracotomy were accepted PLC in pleura opened freshly and closed immediately respectively.Results The positive rates of PLC were 29.08% and 18.44% in patients at different times.It was significantly correlated with different times of PLC and not correlated with tumor size,location,different iation degree and invasive depth.Conclusion It is reasonable for PLC during pleura opened freshly in thoracotomy.

关 键 词：胸腔冲洗液细胞学检查 临床意义 食管癌 阳性率 PLC 胸腔转移 食管吻合 分化程度 浸润深度 癌患者 操作前 开胸后 相关 手术时 胸内 

分 类 号：R735.1[医药卫生—肿瘤] R512.62[医药卫生—临床医学]