细针穿吸细胞学检查在腮腺区肿块诊断中的价值  

The Diagnostic Value of Fine-Needle Aspiration Cytology (FNAC) For Lesions in the Parotid Gland

作　　者：何悦[1] 张志愿[1] 田臻[2] 

机构地区：[1]上海第二医科大学附属第九人民医院口腔医学院口腔颌面外科,上海200011 [2]上海第二医科大学附属第九人民医院口腔医学院口腔病理科,上海200011

出　　处：《上海口腔医学》2003年第6期410-413,共4页Shanghai Journal of Stomatology

摘　　要：目的评价细针穿吸细胞学检查(FNAC)在腮腺区肿块诊断中的应用价值。方法应用细针穿吸方法,对121例腮腺区肿块患者进行细胞学检查,其中男性62例,女性59例;年龄5～95岁,平均年龄57.88岁。将细胞学检查结果与术后组织病理和随访资料进行比较研究。结果FNAC的定性诊断准确率为92.56%(112/121),诊断准确率为89.26%。肿瘤的敏感性为91.25%,特异性为100%;7例患者为假阴性,假阴性率为8.75%;良、恶性病变的敏感性为70.97%,特异性为100%;9例患者为假阴性,假阴性率为29.03%,无假阳性患者。无临床并发症。结论FNAC在腮腺区肿块的诊断中有重要作用,是一种经济、快速、安全、并发症少见和诊断准确率高的细胞学诊断手段。Objective To evaluate the effectiveness of FNAC in the diagnosis of parotid gland masses.Methods Fine needle aspiration cytology was performed in121patients with parotid gland masses.Among them,62were males,59were females.Their age ranged from5to95years with an average age of57.88years.The cytological results were compared with postoper-ative histopathological results and follow-up outcomes.Results The qualitative diagnostic accuracy of FNAC was92.56%(112/121)and the overall diagnostic accuracy was89.26%.The sensitivity for tumors was91.25%,and the specificity was100%.7patients were false negative with a false negative rate of8.75%.The sensitivity and specificity for benign and malig-nant lesions was70.97%and100%,respectively.9patients were false negative with a false negative rate of29.03%.There were no false positive cases,nor clinical complications.Conclusions FNAC plays an important role in the diagnosis of parotid gland masses.It is a cost-effective,safe,helpful and accurate tool for establishing tissue diagnosis as a primary in-vestigative modality in the diagnosis of lesions in the parotid gland region with higher accuracy and fewer complications.

关 键 词：细针穿吸细胞学检查 腮腺肿块 细胞学诊断 组织病理学 磁共振 

分 类 号：R446.8[医药卫生—诊断学] R781.7[医药卫生—临床医学]