超声引导下细针穿刺细胞学检查在妇科盆腔肿瘤诊治中的应用  

The Diagnostic and Therapeutic Effect of Ultrasonography-Guided Fine Needle Aspiration Cytology in Gynecologic Pelvic Tumor

作　　者：吴成勇[1] 王芬[1] 

机构地区：[1]新疆维吾尔自治区人民医院妇科,新疆乌鲁木齐830001

出　　处：《中国临床医学》2014年第3期299-300,共2页Chinese Journal of Clinical Medicine

摘　　要：目的:探讨超声引导下细针穿刺细胞学(fine needle aspiration,FNA)检查对妇科盆腔肿瘤的临床诊断与治疗价值。方法:32例妇科盆腔肿瘤患者在B超引导下进行FNA检查,同时送组织病理学检查。结果:32例盆腔肿瘤患者中,FNA检查诊断为卵巢恶性肿瘤28例,盆腔良性病变4例。FNA诊断为恶性肿瘤的28例患者中,除3例因针吸样本量较少未能作出组织病理学诊断外,余25例组织病理学诊断为浆液性、黏液性、乳头状癌或子宫内膜样腺癌等。FNA诊断为良性肿瘤的4例患者中,术后组织病理学证实为卵巢畸胎瘤、卵巢浆液性囊腺瘤、子宫肌瘤、附件炎性反应。FNA检查对盆腔肿物诊断的敏感性和特异性均为100.0%。32例患者均未发现针道种植及感染。结论:FNA诊断妇科肿瘤的敏感性及特异性高,具有重要的临床价值。Objective：To explore the diagnostic and therapeutic value of ultrasonography-guided fine needle aspiration（FNA） cytology in gynecologic pelvic tumor .Methods ：A total of 32 patients with gynecologic pelvic tumor underwent FNA with type-B ultrasonic guidance and histopathologic examination .Results：Of the 32 cases with pelvic tumor ,28 cases were diagnosed as malignant ovarian tumors by FNA ,while the other 4 cases were diagnosed as benign lesions .Of the 28 cases with malignant o-varian tumors ,3 cases could not undergo histopathologic examination due to insufficient tissues by needle aspiration ,while the other 25 cases were diagnosed as serous or mucous papillary carcinoma ,or endometroid carcinoma .The 4 patients ,who were diagnosed as benign lesions by FNA ,were diagnosed as ovarian teratoma ,ovarian serous cystademona ,hysteromyoma and ad-nexal inflammatory reaction by histopathologic examination .The sensitivity and specificity of FNA cytology in the diagnosis of gynecologic pelvic tumor were both 100% .Conclusions ：The sensitivity and specificity of FNA cytology in the diagnosis of gy-necologic tumor are high ,and the clinical value of which is important .

关 键 词：妇科盆腔肿瘤 细针穿刺 细胞学 

分 类 号：R737.3[医药卫生—肿瘤]