胰腺肿块超声引导下经皮细针穿刺吸取细胞学与组织学检查对照研究  

Cytologic and histopathologic examinations of fine-needle aspirates of pancreatic mass

作　　者：邢香芬[1] 李吉友[2] 王彬[3] 陈敏华[4] 

机构地区：[1]北京医科大学第一医院病理科,100034 [2]北京医科大学临床肿瘤学院病理科 [3]北京医科大学第一医院超声诊断科,100034 [4]北京医科大学超声诊断科

出　　处：《中华肿瘤杂志》2000年第1期53-54,共2页Chinese Journal of Oncology

摘　　要：目的　研究胰腺肿块在超声引导下经皮细针穿刺吸取细胞学与组织学诊断方法及临床应用价值。方法　采用细针穿刺吸取细胞涂片 ,同时吸取微型组织块进行组织学观察的 83例进行对比研究。结果　细胞学检查总准确性 98 8% ,敏感性和特异性分别为 98 3%和 10 0 % ;组织学活检分别为 95 1%、93 2 %和 10 0 %。均无假阳性。结论　该诊断方法快速 ,经济实用 ,安全和准确性高。两种方法同时使用可起到互补作用 ,胰腺恶性肿瘤检出率会更高。Objective To evaluate the usefulness in diagnosis of pancreatic mass by histopathologic and cytologic examinations of fine needle aspirates obtained under ultrasonic guidance. Methods In 83 patients with pancreatic mass, percutaneous fine needle aspiration was performed under ultrasound guidance. The fluid aspirates were examined cytologically and tissue fragments examined histopathologically. The findings were compared. Results The rate of accuracy, sensitivity, and specificity of cytologic examination was 98.8%, 98.3% and 100% respectively, and that of histopathologic diagnosis was 95.1%, 93.2% and 100%, respectively. There was no false positive. Conclusion Both histopathologic and cytologic examinations of fine needle aspirates of pancreatic mass are sensitive and accurate enough for the diagnosis of pancreatic diseases. They can be used with complementarity.

关 键 词：胰腺肿瘤 病理学 超声引导 活检 

分 类 号：R730.4[医药卫生—肿瘤]