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目的:探讨针吸细胞学在临床应用中的价值。方法:采用细针吸取细胞分析36190人次诊断结果。结果:36190人次针吸细胞学阳性检出率为89.6%;791例细胞学诊断为肿瘤或瘤样增生者与病理对照,诊断符合率为87.6%;2064例细胞学诊断为非瘤性疾病或病变者,被临床和病理证实为恶性肿瘤者25例、良性肿瘤156例,假阴性率为8.8%。结论:针吸细胞学诊断的敏感性和特异性尚满意,具实用价值,但其准确性低于病理组织学诊断。
Objective: To explore the value of needle aspiration cytology in clinical application. Methods: A total of 36,190 person-times of diagnosis were analyzed by fine needle aspiration. RESULTS: The positive rate of needle aspiration cytology was 89.6% in 36190 patients; 791 cases were diagnosed as tumor or hyperplasia by pathology, and the diagnostic coincidence rate was 87.6%; 2064 cases were diagnosed as non-neoplastic disease by cytology or Among the lesions, 25 were clinically and pathologically confirmed as malignant tumors and 156 were benign tumors. The false negative rate was 8.8%. Conclusion: The sensitivity and specificity of the needle-suction cytology diagnosis are still satisfactory and have practical value, but its accuracy is lower than histopathological diagnosis.