细胞形态学检验在良恶性胸腹水细胞鉴别中的临床价值研究  

Clinical value of cell morphological test in the identification of benign and malignant pleural effusion cells

作　　者：李吉 陆红云 

机构地区：[1]桐乡市第二人民医院,浙江桐乡314511

出　　处：《中医临床研究》2017年第12期97-99,共3页Clinical Journal Of Chinese Medicine

摘　　要：目的:分析细胞形态学检验在良恶性胸腹水细胞鉴别中的临床价值。方法:选取2015年1月-2016年11月在我院就诊的255例胸腹水患者作为研究对象,所有患者均采用有核细胞计数检验,并对其中52例体积较大的细胞进行细胞形态学检验,分析有核细胞计数结果及良恶性胸腹水检验结果。结果:52倒细胞体积增大的标本中,17例血性积液标本中发现12例恶性细胞,约占70.59%,35例非血性积液标本中发现24例恶性细胞,约占68.57%;经临床及病理学检验共检出38例恶性细胞,细胞形态学检出36例,诊断符合率为94.74%,35例为真阳性,约占92.11%,3例为假阴性,约占7.89%,14例为良性细胞,真阳性为13例,约占92.86%,假阳性为1例,约占7.14%。结论:采用细胞形态学鉴别良恶性胸腹水具有准确、快速、便捷等特点,可有效提高临床诊断率,为医生的诊治提供有利的依据,在临床应用中值得推广。Objective:To analyze the clinical value of cell morphological examination in differential diagnosis of benign andmalignant pleural effusion cells.Methods:A total of255patients with thoracic and ascites were examined by nucleated cell count andthe cell morphology examination.Results:In52cases,12cases of malignant cells were found in17cases of hematopoietic effusion,accounting for70.59%.24cases of malignant cells were found in35cases of non-bloody effusion,for68.57%.38cases of malignant cellswere detected by clinical and pathological examination.36cases were detected by cytology,the coincidence rate was94.74%,35caseswere true positive,for92.11%,3cases were false negative,accounting for7.89%,14cases of benign cells,true positive for13cases,for92.86%,false positive for1case,for about7.14%.Conclusion:Application of cell morphology to identify benign and malignant pleuraleffusion is accurate,rapid and convenient.

关 键 词：细胞形态学检验 良恶性胸腹水 细胞鉴别 临床价值 

分 类 号：R440[医药卫生—诊断学]