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细胞学检查对肺癌的早期诊断具有重要意义,在肺结核与肺癌的鉴别诊断上,其作用是无可怀疑的。在痰或支气管拭物涂片作细胞学检查时,若注重寻找异性细胞和普遍细胞,则细胞学检查的作用就会更大。本文介绍作者采用痰涂片、支气管分泌物涂片以及载物玻片直接采痰检查等三种方法,比较观察肺结核及肺癌的细胞学特点。直接采痰法是以2.6×3.8cm 的载物玻片,固定在用金属捧弯曲制成的框子上,金属框有柄以便使用时持握.检查者持柄将固定在金属框的玻片置入被检者咽部,令其咳嗽或刺激诱发其咳嗽,使咳出的痰沫聚集在载物玻片上即可镜检。以216例患者为研究对象,其中肺结核109例,肺癌107例。肺结核组(T 组)男性88例,女性21例;年龄18～85岁。这些患者的临床类型:原发综合征3例,胸内淋巴结结核1例,播散型4例,局灶型7例,浸润型52例,结核瘤23例,空洞型3例,纤维空洞型16例。109例中痰中结核杆菌阳性者52例。肺癌组(P 组)男性100例,女性7例;年
Cytological examination for the early diagnosis of lung cancer is of great significance in the differential diagnosis of pulmonary tuberculosis and lung cancer, its role is beyond doubt. In sputum or bronchial swab smear cytology, focusing on looking for the opposite sex cells and universal cells, the role of cytology will be even greater. This article describes the author using three methods of sputum smear, bronchial secretions smears and slide glass directly sputum sputum, and more to observe the cytology of pulmonary tuberculosis and lung cancer. The direct sputum method is based on 2.6 × 3.8cm load slide, fixed in a metal frame bending made of the frame, the metal frame has a handle for use to hold .Check holder holding the slide fixed in the metal frame Into the subjects throat, make it cough or stimulate its cough, cough up the sputum gathered in the slide can be microscopic examination. 216 patients were studied, including 109 cases of pulmonary tuberculosis and 107 cases of lung cancer. Tuberculosis group (T group), 88 males and 21 females; aged 18 to 85 years. The clinical types of these patients were: primary syndrome in 3 cases, thoracic lymph node tuberculosis in 1 case, disseminated type in 4 cases, focal type in 7 cases, invasive type in 52 cases, tuberculoma in 23 cases, hollow type in 3 cases, fibrous hollow type 16 cases. 109 cases of sputum in Mycobacterium tuberculosis positive in 52 cases. Lung cancer group (P group) 100 males and 7 females;