针吸细胞学涂片联合细胞块在睾丸及附睾疾病诊断中的价值  

Diagnostic value of fine needle aspiration cytology combined with cell block on testicular and epididymis lesions

作　　者：王敏[1] 刘昆[2] 陈冰[1] 周莉[1] 马广贞[1] 马青松[1] 解建军[1] 

机构地区：[1]泰山医学院附属聊城市第二人民医院病理科,252600 [2]泰山医学院附属聊城市第二人民医院神经外科,252600

出　　处：《中国实用医刊》2012年第10期12-14,共3页Chinese Journal of Practical Medicine

摘　　要：目的探讨针吸细胞学涂片联合细胞块对睾丸及附睾疾病的诊断价值。方法回顾性分析94例睾丸及附睾结节性病变患者的临床资料，术前均行针吸细胞学涂片和细胞块切片诊断，对照病理组织学，分析细胞学涂片联合细胞块对睾丸及附睾疾病诊断的准确率。结果FNAC联合细胞块诊断准确率为96．8％，FNAC诊断准确率为87．2％。在病变分型中，结合免疫细胞化学，FNAC联合细胞块诊断准确率达90．4％，高于FNAC涂片诊断方法（P〈0．01）。结论针吸细胞学涂片联合细胞块可大大提高对睾丸及附睾疾病的诊断符合率，结合细胞块免疫细胞化学技术使分型诊断更加准确。Objective To investigate the diagnostic value of fine needle aspiration cytology （FNAC） combined with cell block on testicular and epididymis lesions. Methods The clinical data of 94 cases of testicular and epididymis lesions were retrospectively analyzed. All cases were diagno- sised by fine needle aspiration cytology （FNAC） and cell block slice. Compared with pathologic his- tology, the diagnostic accuracy of fine needle aspiration cytology （FNAC） combined with cell block was analyzed. Results The diagnostic accuracy of FNAC combined with cell block was 96.8% , and the diagnostic accuracy of FNAC was 87.2%. For lesions classification, the diagnostic accuracy of FNAC combined with cell block was 90.4% combined with immunocytochemistry, which was higher than that of FNAC （P 〈 0.01 ）. Conclusions FNAC combined with cell block can greatly improve the diagnostic accordance rate of testicular and epididymis lesions. The lesions classification will be more exact using immunocytochemistry.

关 键 词：针吸细胞学 细胞块 睾丸及附睾疾病 

分 类 号：R697[医药卫生—泌尿科学] R446.8[医药卫生—外科学]