摘要
目的：评价腹膜细胞刷刷检在良、恶性腹水鉴别诊断中的应用价值。方法：用自制腹膜细胞刷对２８例有中等量以上恶性腹水患者作腹膜刷检，并与腹水常规脱落细胞学检查、腹膜活检等方法进行比较。结果：腹水常规脱落细胞学检查肿瘤细胞的阳性率为４２．９％，腹膜病理活检４６．４％，腹膜刷检８２．１％；腹膜活检后腹水脱落细胞学检查肿瘤细胞的阳性率为６４．３％，腹膜刷检后８５．７％；腹膜活检和腹膜刷检同时进行后腹水脱落细胞学检查肿瘤细胞的阳性率增加至９６．４％。结论：腹膜刷检可提高良、恶性腹水的诊断正确率，是一种操作方便、安全有效的检查手段。
Objective: To identify applied value of peritoneal brush cytology in the diagnosis of benign and malignant ascites. Methods: Peritoneal brush cytology was performed with brush made by ourselves in 28 patients with malignant ascites, as compared with biopsy and routine cytology analysis in ascitic fluid specimen. Results: The positive rate of malignant cells in ascites was 42.9% by routine cytology; that was 46.4% with biopsy; that was 82.1% with brush cytology. The positive rate of malignant cells in ascitic fluid specimen was 64.3% and 85.7% after biopsy and after brush cytology, respectively.The positive rate of malignant cells in ascitic fluid specimen was 96.4% after biopsy together with brush cytology. Conclusion: The peritoneal brush cytology is a convenient,safe and effective method and can increase accuracy in the diagnosis of benign and malignant ascites.
出处
《第二军医大学学报》
CAS
CSCD
北大核心
1998年第2期182-183,共2页
Academic Journal of Second Military Medical University
关键词
恶性
腹水
腹膜细胞刷检
诊断
malignant ascites
peritoneal brush cytology
peritoneal exfoliating cytology
peritoneal biopsy
