386例沉降式液基细胞纤维支气管镜检查的细胞学诊断结果分析  

Analysis of the results of 386 cases tested by sedimentary liquid based cytological diagnosis cell bronchoscopy

作　　者：颜云[1] 丁永玲[1] 

机构地区：[1]扬州市第一人民医院病理科,江苏扬州225000

出　　处：《现代肿瘤医学》2014年第12期2887-2889,共3页Journal of Modern Oncology

摘　　要：目的:探讨沉降式液基细胞学制片技术在纤维支气管镜刷检细胞学诊断中的应用价值。方法:复阅386例应用沉降式液基细胞学制片技术进行纤维支气管镜刷检细胞诊断的细胞片,并对照其病理学诊断结果,评价沉降式液基细胞学制片技术在纤维支气管镜刷检细胞学检查中的应用价值。结果:病理学诊断为肺支气管癌的334例患者中,细胞学检查出癌295例。病理学诊断为肺支气管良性病变的52例患者,细胞学均报告阴性。细胞学诊断敏感性为89.9%,特异性为100%。同时有细胞学和病理学分类诊断结果的217例患者中,鳞癌、腺癌和小细胞癌细胞学诊断与病理学诊断的符合率分别为94.5%、89.8%和96.1%。结论:沉降式液基细胞学制片技术在纤维支气管镜细胞学检查中的诊断符合率及特异性较高。Objective： To explore the application value of sedimentation type liquid based cytology production technology in bronchial brushing cytology in the diagnosis of lung tumor. Methods： To review 386 cases tested by settlement type liquid based cytology production technique in cell sheet fiberbronchoscope. And compared with the pathological diagnosis results. Results： In the 334 cases with pathological diagnosis of pulmonary,bronchial cancer,cytological examination detection of cancer in 295 cases. Pathological diagnosis of 52 cases of pulmonary,bronchial benign disease patients,all reported negative by cytology. Cytological diagnostic sensitivity was 89. 9%,specificity was100%. There were 217 cases tested by cytological and histopathological results,squamous cell carcinoma,adenocarcinoma and small cell carcinoma cytology diagnosis and pathological diagnosis rate were 94. 5%,89. 8% and 96. 1%.Conclusion： Diagnosis of sedimentation type liquid based cytology production technology in fiberoptic bronchoscopy cytology is useful in accordance rate and high specificity.

关 键 词：沉降式液基细胞制片 纤维支气管镜刷检 肺肿瘤 

分 类 号：R730.43[医药卫生—肿瘤]