内镜逆行胰胆管造影下胰管擦拭法细胞学检查对胰腺肿瘤的诊断价值

目的：研究内镜逆行胰胆管造影（ERCP）下胰管擦拭法细胞学检查（简称刷检）对胰腺肿瘤诊断的临床应用价值。方法：在ERCP检查的同时采用胰管细胞刷刷取细胞涂片并结合，ERCP对临床疑诊为胰腺肿瘤的27例患者进行研究。结果：细胞学检查阳性率为55．6％，且头、体部胰腺癌胰管刷检细胞学检查阳性率较高，分别为69．2％和60％，ERCP诊断正确率为77．8％，两者结合诊断正确率达100％，结论：该诊断方法快速，经济实用，安全和准确性高，可与ERCP结合进行，提高胰腺恶性肿瘤的检出率。

Brush cytology diagnosis of pancreatic malignancies during ERCP

Objective To evaluate the usefulness of cytologic examinations of pancreatic duct brushing obstained during ERCP in diagnosis of pancreatic neoplasms. Methods In 27 patients with suspected manlignancy, cytologic examinations of pancreatic duct brushing during ERCP were performed. Results The positive rate of brush cytology was 55.6%.The results were affected by the location of lesion, correct cytodiagnoses of cancer were 69.2% in cancer at the head of the pancreas and 60% in cancer of the body. The accuracy rate of ERCP was 77.8%.However, by combining these 2 methods, the accuracy rate rose to 100%. Conclusion Our results confirm the significance,safety,and usefulness of the cytologic specimens obtained at the time of ERCP for the diagnosis of pancreatic neoplasms.