邢香芬 李吉友 王彬 陈敏华 邢香芬(北京医科大学第一医院病理科，100034)；李吉友(北京医科大学临床肿瘤学院病理科)；王彬(超声诊断科)；陈敏华(超声诊断科) 中华肿瘤杂志 2000 0 22 1


    关键词：胰腺肿瘤/超声检查；胰腺肿瘤/病理学；活组织检查，针吸 期刊 zhzlzz 0 53-54 临床研究 fur -->


    

【摘要 】 目的 研究胰腺肿块在超声引导下经皮细针穿刺吸取细胞学与组织学诊断方法及临床应用价值。方法 采用细针穿刺吸取细胞涂片，同时吸取微型组织块进行组织学观察的83例进行对比研究。结果 细胞学检查总准确性98.8%，敏感性和特异性分别为98.3%和100%；组织学活检分别为95.1%、93.2%和100%。均无假阳性。结论 该诊断方法快速，经济实用，安全和准确性高。两种方法同时使用可起到互补作用，胰腺恶性肿瘤检出率会更高。

Cytologic andhistopathologic examinations of fine-needle aspirates of pancreatic mass

XING Xiangfen, LI Jiyou, WANG Bin, et al.

    (The First Hospital, Beijing Medical University, Beijing 100034, China)

【Abstract 】 Objective To evaluate the usefulness in diagnosis ofpancreatic mass by histopathologic and cytologic examinations of fine-needle aspiratesobtained under ultrasonic guidance. Methods In 83 patients withpancreatic mass, percutaneous fine-needle aspiration was performed under ultrasoundguidance. The fluid aspirates were examined cytologically and tissue fragments examined histopathologically. The findings were compared. Results The rate ofaccuracy, sensitivity, and specificity of cytologic examination was 98.8%, 98.3% and 100%respectively, and that of histopathologic diagnosis was 95.1%, 93.2% and 100%,respectively. There was no false positive. Conclusion Bothhistopathologic and cytologic examinations of fine-needle aspirates of pancreatic mass aresensitive and accurate enough for the diagnosis of pancreatic diseases. They can be usedwith complementarity.

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