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目的:探讨细针吸取细胞块联合细针吸取细胞学涂片对肾脏恶性肿瘤的诊断价值。方法:59例肾脏恶性肿瘤患者,术前均行细针吸取细胞学涂片和细胞块切片诊断,并与术后病理结果对照,分析细针吸取细胞学涂片联合细针吸取细胞块诊断肾脏恶性肿瘤的准确率。结果:细针吸取细胞块联合细针吸取细胞学涂片诊断恶性肿瘤准确率为93.2%,细针吸取细胞学涂片诊断准确率为81.4%,二者比较差异有统计学意义(P<0.05)。恶性肿瘤分型中,细胞块联合细针吸取细胞学涂片诊断准确率为89.8%,细针吸取细胞学涂片诊断准确率为66.1%,二者比较差异有统计学意义(P<0.05)。结论:细针吸取细胞块、细针吸取细胞学涂片诊断肾脏恶性肿瘤的准确率均较高,二者联合应用对组织分型、分类诊断有较高应用价值。
Objective: To investigate the diagnostic value of fine needle aspiration cell mass combined with fine needle aspiration cytology smears for diagnosis of renal malignancies. Methods: Fifty-nine patients with malignant nephropathy were diagnosed with cytology smears and cell blocks before operation and compared with postoperative pathological results. Fine needle aspiration cytology and fine needle aspiration were used to diagnose kidney The accuracy of malignant tumors. Results: The fine needle aspiration cytology combined with fine needle aspiration cytology smear diagnosis of malignant tumor was 93.2%, fine needle aspiration cytology smear diagnosis accuracy was 81.4%, the difference was statistically significant (P <0.05 ). In the classification of malignant tumor, the diagnostic accuracy of cell mass combined with fine needle aspiration cytology smears was 89.8%, fine needle aspiration cytology smears was 66.1%, the difference was statistically significant (P <0.05) . CONCLUSION: The accuracy of fine needle aspiration of cell mass and fine needle aspiration of cytology smear for the diagnosis of renal malignancy are both high. The combined application of the two methods has high value in the diagnosis of tissue typing and classification.