细胞形态学对鉴别良恶性胸腹水的临床价值  

The value of morphological evaluation in identifing benign and malignant pleural,abdominal cavity effusion cells

作　　者：郭周庆[1] 吴又明[1] 王红霞[1] 

机构地区：[1]南方医科大学附属小榄医院病理科,广东中山528415

出　　处：《检验医学与临床》2015年第11期1528-1529,共2页Laboratory Medicine and Clinic

基　　金：广东省中山市科技局科研项目(20132A152)

摘　　要：目的探讨细胞形态学检验对鉴别良恶性胸腹水细胞的临床价值。方法随机选取2010年11月至2013年11月该院收治的胸腹水180例患者采用常规有核细胞计数检查,对其中78例细胞体积较大的胸腹水患者采用细胞形态学检验,并使用离心涂片以及瑞氏染色方式鉴别胸腹水患者的良恶性。结果细胞形态学检验结果显示,78例胸腹水患者中有56例患者为恶性细胞,同时采用临床、病理学以及其他检验方法确定有60例胸腹水患者属于恶性,诊断符合率高达93.3%。结论细胞形态学对鉴别良恶性胸腹水细胞有较高的临床价值,且特异性和灵敏度也较高。Objective To evaluate the clinical value of morphological examination in differentiating benign and malignant pleural .abdominal cavity effusion cells. Methods 180 cases patients with pleural.abdominal cavity effu sion were randomly selected and tested by using conventional nucleated cell count from November 2010 to November 2013 in our hospital, Chest, ascites cell among 78 cases of large volume cell pleural,abdominal cavity effusion were inspected by cell morphology,the benign and malignant of cell were identified by centrifugal smear and Switzerlandrs staining. Results There were 56 patients apperesd malignant cells in 78 cases in pleural effusion by morphological examination, t, while, there are 60 cases of patients were malignant pleural effusion by using clinical,pathological and other testing methods, coincidence rate were up to 93.3%. Conclusion Cell morphology were high value to identifi cation of patients with benign or malignant pleural effusion.

关 键 词：良恶性胸腹水 细胞形态学 临床价值 

分 类 号：R561.3[医药卫生—呼吸系统]