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本文通过对1982—1992年以来中国医科大学第一临床医院门诊和住院病人的浆膜腔积液的细胞学诊断7008例,进行回顾性分析,其中1851例为恶性积液,最多见胸腔积液,占61.4。其次为腹腔积液,占32.0％;心包积液较少。占6.6％。恶性积液以腺癌最多,占81.0％,主要来自肺癌、卵巢癌、胃癌、肠癌及乳腺癌等原发灶的转移。鳞癌较少见,仅占8.5％,主要来自肺癌的转移。未分化癌占4.4％;恶性淋巴癌占3.5％;恶性间皮瘤甚少见,只占1.1％。 1851例恶性积液中,发病年龄最多为51～60岁,占34.4％,51岁以上为特发年龄组,占64％,最小年龄8岁,最大年龄88岁,男女之比为1.2:1。 浆膜腔积液细胞学检查是确定积液性质的重要方法之一,方法简单易行,应引起临床重视。
This article retrospectively analyzed 7008 cases of serologic effusions in outpatients and inpatients at the First Clinical Hospital of China Medical University from 1982 to 1992. Among them, 1851 cases were malignant effusions and the most commonly seen pleural effusions. Accounted for 61.4. Followed by peritoneal effusion, accounting for 32.0%; pericardial effusion less. 6.6%. Malignant effusion was the most common type with adenocarcinoma, accounting for 81.0%, mainly from lung cancer, ovarian cancer, gastric cancer, colorectal cancer, and breast cancer. Squamous cell carcinoma is rare, accounting for only 8.5%, mainly due to the metastasis of lung cancer. Undifferentiated cancer accounted for 4.4%; malignant lymphoma accounted for 3.5%; malignant mesothelioma was rare, accounting for only 1.1%. Of the 1851 cases of malignant effusions, the age of onset was 51-60 years old, accounting for 34.4%. The 51-year-old or older was the special-age age group, accounting for 64%. The minimum age was 8 years and the maximum age was 88 years. The ratio between men and women was 1.2:1. . Serous effusion cytology cytology is one of the important methods to determine the nature of effusion. The method is simple and easy to use and should be given clinical attention.