胸水间皮细胞计数结合胸膜活检对良、恶性胸水的诊断价值  

Diagnosis significance on the integration of mesothelial cell count in pleural cavities accumulative fluid and pleurae histic examination for identifying benignant or malignant pleural cavities fluid.

作　　者：张素萍[1] 李秀[1] 张颖[1] 

机构地区：[1]安徽省合肥市第一人民医院,230061

出　　处：《临床肺科杂志》2002年第4期33-34,共2页Journal of Clinical Pulmonary Medicine

摘　　要：目的　探讨胸水间皮细胞计数结合胸膜活检对诊断良、恶性胸水的临床意义。方法　收集 1998年 10月— 2 0 0 1年 10月胸腔积液住院患者 4 4例 ,观察胸水的间皮细胞计数及胸膜活检结果与良、恶性胸水的关系。结果　结核性胸水间皮细胞为 0 .0 2 4±0 .0 14 ;其它良性为 0 .0 4 8± 0 .0 2 2 ;肺癌为 0 .178± 0 .117;其它恶性为 0 .2 4 0± 0 .12 1。胸膜活检在 30例结核性胸水中 4例有干酪样坏死 ,10例提示慢性炎症 ,另 16例检出为正常的胸膜组织。肺癌患者 6例有 1例检出鳞癌 ,2例为腺癌 ,3例检出正常胸膜组织。s Objective Clinic significance was approached to the integration of mesothelial cell count in pleural cavities accumulative fluid and pleurae histic examination on the diagnoses of benignant or malignant pleural cavities fluid .Methods 44 cases suffered from the pleural cavities accumulative fluid were observed from october,1998 to october,2001, and it were examined to relations hip among the integration of mesothelial cell count in pleural cavities fluid, pleurae histic examination, and their benignant or malignant levels.Results The mesothelial cell count in pleural cavities fluid, tuberculous, benignant, pulmonary carcinoma ,and other malignant were 0.024±0.014;0.048±0.022;0.178±0.117;0.240±0.121 respectively. In 30 cases tuberculous pleural cavities fluid ,4 cases were caseation normal pleurae tissue.10 cases chronic inflammation .In 6 cases of pulmonary cancer patients ,one case was squamous carcinoma, two cases were adeno- carcinoma, and three cases were normal pleural tissues. Conclusion The integration of mesothelial cell count in pleural cavities accumulative fluid and pleurae histic examination could rise diagnostic right ratio on an etiology of the pleural cavities accumulative fluid.

关 键 词：胸水间皮细胞计数 胸膜活检 恶性胸水 诊断 病因学 

分 类 号：R446.8[医药卫生—诊断学]