眼眶病细针抽吸活检  

Fine needle aspiration biopsy of orbital disease

作　　者：何彦津[1] 丁莹[1] 宋国祥[1] 

机构地区：[1]中国天津医科大学第二医院眼科中国天津眼眶病研究所,300211

出　　处：《美中国际眼科杂志》2001年第4期20-21,共2页

摘　　要：目的 探讨细针抽吸活检方法在眼眶病诊断的应用价值。方法 细针抽吸活检52例。其中活体上进行抽吸39例,离体肿瘤标本进行抽吸13例。穿刺针为国产一次性注射器,穿刺针外径0.7mm或0.8mm。结果 39例活体抽吸符合率69.2％,13例离体标本抽吸符合率92.3％。恶性肿瘤阳性结果71.4％,其细胞形态特徵可诊断恶性肿瘤,恶性淋巴瘤可确诊并可将上皮来源恶性肿瘤与其他恶性肿瘤区别。结论 细针抽吸活检的方法对眼眶病变的诊断结果可靠,方法安全,既有诊断价值,又有治疗意义。但在细胞学病理诊断方面仍需明确,活体穿刺需定位准确。Objective To investigate the diagnostic value of fine needle aspiration biopsy (FNAB) in cases of orbital dsease. Methds 52 orbital fine needle aspiration cases were recorded in 8 years. Among them, 13 cases were biopsied at the spcimen of surgical and 39 cases were biopsied before surgical. The aspiration was performed with 7# or 8# needles. Results In 27 of the 39 cases (69.2%), the cytology diagnosis was compatable with the pathologic examination. And in 12 of the 13 cases (92.3%), the cytology diagnosis was compatible with the pathologic examination. Positive cytological result was obtained in 71.4% of the maligment cases. Conclusion Studies indicate that FANB is an effective, reliable and valuable method in the diagnosis and management of orbital disease.

关 键 词：眼眶病 细针抽吸活检 诊断 临床应用 

分 类 号：R777.5[医药卫生—眼科]