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[1]洪练青,王新方,王雄威,等.超声引导下细针穿刺细胞学检查在坏死性淋巴结炎诊断中的应用[J].医学研究与战创伤救治(原医学研究生学报),2014,16(02):138-140.[doi:10.3969/j.issn.1672-271X.2014.02.008]
　HONG Lian-qing,WANG Xin-fang,WANG Xiong-wei,et al.Application of ultrasound-guided aspiration cytology combined with the liquid based cytology in the diagnosis of necrotizing lymphadenitis[J].JOURNAL OF MEDICALRESEARCH —COMBAT TRAUMA CARE,2014,16(02):138-140.[doi:10.3969/j.issn.1672-271X.2014.02.008]
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超声引导下细针穿刺细胞学检查在坏死性淋巴结炎诊断中的应用()
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《医学研究与战创伤救治》（原医学研究生学报）[ISSN:1672-271X/CN:32-1713/R]

卷:
第16卷
期数:
2014年02期
页码:
138-140
栏目:
出版日期:
2014-03-20

文章信息/Info

Title:
Application of ultrasound-guided aspiration cytology combined with the liquid based cytology in the diagnosis of necrotizing lymphadenitis
作者:
洪练青1; 王新方2; 王雄威1; 王建东3
1.210014 江苏南京，南京中医药大学附属南京市中西医结合医院病理科;2.210014 江苏南京，南京中医药大学附属南京市中西医结合医院超声科;3.210002 江苏南京， 南京军区总医院病理科
Author(s):
HONG Lian-qing1; WANG Xin-fang2; WANG Xiong-wei1; WANG Jian-dong3.
1.Department of Pathology,2.Department of Ultrasound，Nanjing Integrated Traditional Chinese and Western Medicine Hospital,Nanjing，Jiangsu 210014,China；3.Department of Pathology，Nanjing General Hospital of Nanjing Military Command,Nanjing，Jiangsu 21000
关键词:
超声引导; 针吸细胞学; 坏死性淋巴结炎; 液基制片
Keywords:
ultrasound guide; aspiration cytology; histocytic necrotizing lymphadenitis; liquid based cytology test
分类号:
R632.6
DOI:
10.3969/j.issn.1672-271X.2014.02.008
文献标志码:
A
摘要:
目的 探讨坏死性淋巴结炎在超声引导下细针穿刺细胞学检查中的特点。方法 采用一次性10 ml注射器及7号细针(外径7 mm)，经皮超声引导下对体表可疑坏死性淋巴结进 行穿刺抽吸，所得标本进行常规涂片，针头内残余标本注入泰普提供的细胞专用固定保存液中，应用液基细胞薄层制片技术(LCT)制片。 结果 细针穿刺细胞学诊断坏死性淋巴结炎 139例，其中42例进行淋巴结活检，有37例经组织病理学证实为坏死性淋巴结炎、3例为淋巴结淋巴组织增生、1例为淋巴结结核、1例为经典型霍奇金淋巴瘤(结节硬化型)。细胞学 诊断与组织病理结果对比,准确率为88.1%。结论 细针穿刺细胞学检查对坏死性淋巴结炎诊断正确率高，可减少不必要的手术活检，使患者得到及早治疗，并降低诊疗费用。
Abstract:
Objective To explore the cytological characteristics of necrotizing lymphadenitis in ultrasound-guided aspiration.Methods The suspicious necrotic lymph nodes on the body surface were aspirated using a 10 ml disposable syringe (diameter 7 mm) with the percutaneous ultrasound guided.Samples were used for conventional smear,and the needle residual specimens were injected into fixed solution for cells.The cellular slide was prepared by a liquid based cytology test (LCT).Results Fine needle aspiration cytology was used in the diagnosis of necrotizing lymphadenitis in 139 cases.Among these samples,42 cases were carried out lymph node biopsy,and 37 cases were histologically confirmed as necrotizing lymphadenitis,3 cases were hyperplasia of lymphoid tissue,1 case was tuberculosis of lymph node,and 1 case was classical Hodgkin lymphoma (nodular sclerosis type).The accuracy rate of cytology was 88.1% compared with pathological results.Conclusion The correct diagnosis rate of necrotizing lymphadenitis with the fine needle aspiration cytology is high.This can reduce the operation for biopsy,makes patients get early treatment,and reduces medical expenses.

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备注/Memo

备注/Memo:
南京市医学科技发展项目(YKK11068)
更新日期/Last Update: 2014-03-20