抗酸染色可弥补细针吸取细胞学在诊断淋巴结结核性脓肿中的缺陷  

Ziehl-Neelsen staining can remove the disadvantages of fine needle aspiration cytology to diagnose tuberculous abscess in the lymph nodes

作　　者：江涛[1] 朱立强[1] 赵利[2] 

机构地区：[1]徐州医学院附属医院检验科,江苏徐州221002 [2]徐州市肿瘤医院检验科,江苏徐州221009

出　　处：《徐州医学院学报》2016年第3期179-181,共3页Acta Academiae Medicinae Xuzhou

摘　　要：目的：探讨抗酸染色在细针吸取细胞学（ FNAC）无法明确诊断的淋巴结结核性脓肿中的诊断价值。方法收集58例FNAC诊断为可疑淋巴结结核性脓肿的病例。同时将吸取的脓液送微生物室做抗酸染色，查抗酸杆菌。结果58例可疑病例中，42例被临床最终确诊为淋巴结结核，28例抗酸染色阳性，阳性检出率为61．9％。8例2个月～1岁患儿腋下脓肿涂片中7例抗酸染色阳性，阳性检出率为87．5％。结论抗酸染色与FNAC在诊断中有效互补应用，有利于淋巴结结核性脓肿特别是幼儿腋下结核性脓肿的明确诊断。Objective To assess the application of Ziehl -Neelsen staining for diagnosis of tuberculous abscess in the lymph nodes which can not be determined by fine -needle aspiration cytology （ FNAC） .Methods A total of 58 pa-tients suspected with tuberculosis abscess in the lymph nodes by FNAC were included in this study .Meanwhile, purulent fluid were collected and subjected to Ziehl -Neelsen staining .Results There were 42 patients who were diagnosed with tuberculosis of the lymph nodes , including 28 patients with positive Ziehl -Neelsen stain.The positive detection rate was 61.9%.Among 8 child patients from two month to one year were 7 with positive Ziehl-Neelsen stain.The positive de-tection rate was 87 .5%.Conclusion Ziehl-Neelsen staining and FNAC are complementary for diagnosis of tubercu-lous abscess in the lymph nodes , especially those in children＇s armpit.

关 键 词：细胞学 细针抽吸 结核 抗酸染色 诊断 

分 类 号：R446.5[医药卫生—诊断学]