CAJ | 학술논문

目的：通过对浆膜腔积液脱落细胞学检查假阳性和假阴性原因探讨，为肿瘤的临床诊断提供有价值的参考。方法：临床抽取新鲜标本100m l-200ml，立即送检，采用安必平液基薄层细胞沉降式制片染色系统，镜检。结果：500例浆膜腔积液细胞学检查中，阳性272例，其中假阳性1例。阴性228例，其中假阴性35例。结论：浆膜腔积液脱落细胞由于细胞成分复杂，细胞类型繁多及细胞形态和排列形式的多样性，致使某些恶性和良性特征类似，引起假阴性和假阳性错误诊断，所以，正确分析细胞形态对浆膜腔积液定性具有重要的指导意义。
목적：통과대장막강적액탈락세포학검사가양성화가음성원인탐토，위종류적림상진단제공유개치적삼고。방법：림상추취신선표본100m l-200ml，립즉송검，채용안필평액기박층세포침강식제편염색계통，경검。결과：500례장막강적액세포학검사중，양성272례，기중가양성1례。음성228례，기중가음성35례。결론：장막강적액탈락세포유우세포성분복잡，세포류형번다급세포형태화배렬형식적다양성，치사모사악성화량성특정유사，인기가음성화가양성착오진단，소이，정학분석세포형태대장막강적액정성구유중요적지도의의。
The goal of this study is to investigate the cause of false positive and false negative results revealed in cytologic examination on exfoliated cells from serous memebrane effusion and to provide some valuable data for clinical cancer diagnosis.Method: Obtain 100-200ml fresh sample then examine the sample immediately by LBP system and microscopy.Result: In 500 cases of cytologic examinations on exfoliated cells from serous memebrane effusion , there are 272 positive results including 1 false positive;228 negative results including 35 false negative results. Conclusion: Resulting from the cellular diversity, complex cellular components, diverse morphology and alignment of serous cavity, malignant and benign sample may reveal similar characteristics, leading to false positives or false negatives. Thus, Careful examination of cellmorphology is crucial for qualitative analysis of serous memebrane effusion.