医学检验与临床
醫學檢驗與臨床
의학검험여림상
Medical Laboratory Science and Clinics
2015年
5期
14-16
,共3页
胆管刷检%液基细胞学%胆管癌
膽管刷檢%液基細胞學%膽管癌
담관쇄검%액기세포학%담관암
Bile duct brushings%Liquid-Based Cytology Test%Cholangiocarcinoma
目的：探讨胆管刷检液基细胞学检查在胆管癌诊断中的价值。方法：收集临床疑诊的胆管癌患者，行ERCP检查时作胆管刷检获取细胞学标本217例，在胆管刷检直接涂片法的同时进行液基细胞学检查，比较两种方法的敏感性和特异性。结果：直接涂片法检测的敏感性为46.3%，特异性为96.8%；液基细胞学检查的敏感性为76.5%，特异性为100%。液基细胞学检查的敏感性和特异性均高于直接涂片法。结论：液基细胞学检查可明显提高胆管癌的诊断率，ERCP过程中的胆管刷检液基细胞学检测可推广应用于临床。
目的：探討膽管刷檢液基細胞學檢查在膽管癌診斷中的價值。方法：收集臨床疑診的膽管癌患者，行ERCP檢查時作膽管刷檢穫取細胞學標本217例，在膽管刷檢直接塗片法的同時進行液基細胞學檢查，比較兩種方法的敏感性和特異性。結果：直接塗片法檢測的敏感性為46.3%，特異性為96.8%；液基細胞學檢查的敏感性為76.5%，特異性為100%。液基細胞學檢查的敏感性和特異性均高于直接塗片法。結論：液基細胞學檢查可明顯提高膽管癌的診斷率，ERCP過程中的膽管刷檢液基細胞學檢測可推廣應用于臨床。
목적：탐토담관쇄검액기세포학검사재담관암진단중적개치。방법：수집림상의진적담관암환자，행ERCP검사시작담관쇄검획취세포학표본217례，재담관쇄검직접도편법적동시진행액기세포학검사，비교량충방법적민감성화특이성。결과：직접도편법검측적민감성위46.3%，특이성위96.8%；액기세포학검사적민감성위76.5%，특이성위100%。액기세포학검사적민감성화특이성균고우직접도편법。결론：액기세포학검사가명현제고담관암적진단솔，ERCP과정중적담관쇄검액기세포학검측가추엄응용우림상。
Objective:To explore the diagnostic values of bile duct brushings liquid-based cytology test in cholangiocarcinoma. Methods:Samples which were got by bile duct brushings while acting ERCP examination of 217 patients with clinically suspected cholangiocarcinoma were selected to produced sections by traditional smear method as well as liquid-based cytology test, the sensitivity and specificity of the two methods were compared.Results: The sensitivity of direct smear method and liquid-based cytology test for cholangiocarcinoma were 46.3% and 76.5%,whereas the specificity were 96.8% and 100%.It is obviously that the sensitivity and specificity of liquid-based cytology test were higher compared with the traditional smear method.Conclusions:Liquid-based cytology test has high accuracy rate of Cholangiocarcinoma, and the bile duct brushings liquid-based cytology test while acting ERCP can be applied clinically.
