颈淋巴结结核针吸细胞学特点及诊断分析  

Study of fine needle aspiration cytological trait and diagnosis for cervical lymphatic tuberculosis

作　　者：曾红[1] 夏星华[2] 

机构地区：[1]贵阳医学院附属医院病理科细胞室,贵阳550004 [2]贵阳医学院附属医院肿瘤门诊部,贵阳550004

出　　处：《临床与实验病理学杂志》2004年第2期210-212,共3页Chinese Journal of Clinical and Experimental Pathology

摘　　要：目的　总结淋巴结结核细针吸取细胞学特点 ,以提高诊断的正确性。方法　观察 2 4 1例颈部淋巴结结核的细胞学改变 ,并记录涂片中主要细胞成分出现的情况 ,根据所见细胞不同进行归类。记录抗酸染色情况 ,计算阳性率。结果　颈部淋巴结结核根据细胞学所见大致分 6种情况 ,以大量干酪样坏死物、退化变性中性粒细胞及少量淋巴细胞同时出现最多见 ,其次是大量干酪样坏死物和退化变性淋巴细胞同时出现 ,干酪样坏死物、上皮样细胞及朗汉斯巨细胞同时出现少见。结论　干酪样坏死物、上皮样细胞及朗汉斯巨细胞三者中出现一种应考虑为淋巴结结核 ,涂片中见大量退化变性中性粒细胞 ,尤其有干酪样坏死物者 ,也应考虑为淋巴结结核 。Purpose To sum up the character of the fine needle aspiration cytology(FNAC) on cervical lymphatic tuberculosis and raise accuracy of diagnosis. Methods To study FNAC different features of 241 cases on cervical lymphatic tuberculosis, record and classify the appeared differences of the main cytological component in smear, then to write down cases of acid-fast stain and count out positive rate. Results According to the cytological characters, there were 6 cases on cervical lymphatic tuberculosis. The smears with caseation necrosis, neutrophil and a few of lymphtic cells appearing at the same time were most frequently found. Caseation necrosis and lympholeuetes were the second. Langhan's giant cells, epithelioid cells and caseation necrosis were not often appeared at the same time. Conclusions When any one of caseation necrosis, epithelioid cells and Langhan's giant cells on a smear is found, the possibilty of lymphatic tuberculosis shall be considered. Acid-fast stain can raise accuracy of diagnosis.

关 键 词：颈淋巴结结核 诊断 针吸活组织检查 细胞学特点 淋巴细胞 

分 类 号：R522[医药卫生—内科学] R446.8[医药卫生—临床医学]