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143例涎腺肿块细针穿刺细胞学诊断分析
引用本文:陈卫民,邵乐南,王燕秋,吴段秀,韩婉英,康劲松. 143例涎腺肿块细针穿刺细胞学诊断分析[J]. 华中科技大学学报(医学版), 1995, 0(2)
作者姓名:陈卫民  邵乐南  王燕秋  吴段秀  韩婉英  康劲松
作者单位:武汉同济医科大学附属同济医院
摘    要:对143例涎腺肿块患者,运用细针穿刺吸取细胞的方法进行细胞学检查。结果:143例涎腺肿块细胞学检查结果中113例与术后病理学检查结果相符,准确率为79.02%,误诊率为20.98%。诊断为良性肿瘤128例,其中103例与术后病理诊断相符;准确率为80.47%;恶性肿瘤3例,均与病理诊断相符,非肿瘤性疾病12例,其中7例与病理诊断相符,准确率为58.33%。本文分析了细针穿刺吸取细胞作细胞学检查诊断涎腺肿块误诊的原因。该方法简便,结果较可靠,对制定正确的治疗方案有一定帮助。

关 键 词:涎腺;肿块;针吸;细胞诊断学

Fine-Needle Aspiration Biopsy of Salivary Glands Masses in 143 Cases
Chen Weimin,Shao Lenan,Wang Yanqiu et al. Fine-Needle Aspiration Biopsy of Salivary Glands Masses in 143 Cases[J]. Journal of Huazhong University of Science and Technology(Health Sciences), 1995, 0(2)
Authors:Chen Weimin  Shao Lenan  Wang Yanqiu et al
Abstract:patients with clinically manifest masses of the salivary glands were assessed with fine-needle aspiration(FNA)biopsy before surgery,The preoperative FNA diagnoses were compared with the post-operative pathologic findings.The overall diagnostic accuracy of FNA was 79.02%.FNA was more sensitive in identifying malignant neoplasm(100%)than in identifying benign neoplasm(80.47%)and was least sensitive in identifying non-neoplastic salivary diseases(58.33%).The cause of misdiagnosis and the limitations of the method were also disscussed.It is suggested that FNA is a reliable diagnostic method which can offer helpful information for treatment.
Keywords:salivary gland  masses  fine-needle aspiration  biopsy diagnosis  
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