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细针针吸活检术诊断颈淋巴结结核的临床应用价值 被引量:5

Practical clinical value of using FNA in diagnosis of cervical tuberculous lymphdenopath
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摘要 目的本研究对139例头颈部淋巴结进行细针针吸活检(FNA)评价了其临床应用价值。方法对我院2002~2005年3月间139例临床怀疑为淋巴结结核病人分别进行细针针吸活检并进行组织细胞学,抗酸杆菌染色和结核杆菌培养检查。结果75例作涂片找抗酸杆菌25例阳性(33.3%)。25例吸引标本培养为结核分支杆菌6例阳性(24.0%)。4例颈病例确诊为非结核性淋巴结病。结论经细针针吸活检是诊断颈部淋巴结结核病的简便、敏感性、特异性高的方法。 Objective To evaluate the efficacy in diagnosis of cervical tuberculous lymphdenopathy. Methods Needle aspirates biopsies were done on 139 patients with clinical suspicion of tuberculous lymphadenitis in two years in order to analyze the efficacy, sensitivity, and specificity. Results Of the 132 patients, fine needle aspiration cytology showed granulomatous, caseation necrosis, necrosis changes, and mycoberculous lymphadenitis. Of the 25-mycobacterial isolates, 4 were non-tuberculous mycobacteria. Among the 25 patients, 6 showed culture positive. Conclusion It is evident: from this review that FNAC is an efficient way in detecting cervical tuberculous lymphadenopathy.
出处 《临床肺科杂志》 2006年第6期739-740,共2页 Journal of Clinical Pulmonary Medicine
关键词 细针活检 诊断 颈淋巴结结核 FNA tuberculous lymphdenopathy treatment
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