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目的:探讨细针穿刺细胞块联合细针吸取细胞学对涎腺肿瘤的诊断价值。方法:有病理组织学对比的123例涎腺肿瘤患者,均行细针吸取细胞学和细胞块切片诊断,分析二者对涎腺肿瘤诊断的准确率。结果:二者联合诊断敏感性为95.1%,细针吸取细胞学诊断敏感性为91.0%。对涎腺肿瘤分型诊断中二者联合诊断准确率为92.6%,细针吸取细胞学诊断准确率为65.0%,比较差异有统计学意义(P<0.05)。其中对恶性肿瘤分型中,二者联合诊断准确率91.8%,细针吸取细胞学诊断准确率为56.7%,差异有统计学意义(P<0.05)。结论:细针吸取细胞块和细针吸取细胞学对涎腺肿瘤的诊断准确性均较高,二者联合应用对组织分型、分类诊断有很高的应用价值。
Objective: To investigate the diagnostic value of fine needle aspiration cell mass combined with fine needle aspiration cytology in salivary gland tumors. Methods: A total of 123 salivary gland tumor patients with pathological histology were diagnosed by fine needle aspiration cytology and cell mass sections. The diagnostic accuracy of the two methods in salivary gland tumors was analyzed. Results: The sensitivity of the combined diagnosis was 95.1%, and the fine needle aspiration cytology was 91.0%. The diagnostic accuracy of the combined diagnosis of salivary gland tumor was 92.6%, fine needle aspiration cytology was 65.0%, the difference was statistically significant (P <0.05). Among them, in the classification of malignant tumor, the combined diagnostic accuracy of the two methods was 91.8%, and fine needle aspiration cytology was 56.7%, the difference was statistically significant (P <0.05). Conclusion: Fine needle aspiration cytology and fine needle aspiration cytology have higher diagnostic accuracy for salivary gland tumors. The combined application of the two methods has a high diagnostic value for tissue typing and differential diagnosis.