对在食管癌高发区普查中诊断为重度增生的患者,进行食管拉网细胞学、内镜刷检细胞学与内镜活检组织学的复查,并对诊断结果进行对比。结果细胞学诊断与组织学诊断在癌前增生阶段的符合率较低。细胞学癌前增生检出率高于组织学。二者对于鳞癌的诊断符合率较高。提示:食管拉网细胞学检查适合于食管癌前病变的研究,并可作为早期食管癌诊断及筛选方法。 For patients diagnosed with severe hyperplasia in a high-risk area of ​​esophageal cancer, esophageal pull-network cytology, endoscopic brushing cytology, and endoscopic biopsy histology were reviewed and the diagnostic results were compared. Results The coincidence rate of cytologic diagnosis and histological diagnosis in the precancerous stage was low. The cytology precancerous hyperplasia detection rate is higher than histology. Both have a higher rate of diagnosis for squamous cell carcinoma. Tip: Esophageal pull cytology is suitable for the study of esophageal precancerous lesions, and can be used as an early diagnosis and screening method for esophageal cancer.