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为较好评价刷检对可疑上尿路上皮性肿瘤的诊断价值,作者对1984.1～1987.1三年间宾夕凡尼亚大学医院怀疑为上尿路上皮性肿瘤经X线指导、逆行尿路刷检的45个病例进行回顾性研究。男性30例,女性15例,年龄27～84岁,43例患者有血尿及胁痛,所有患者静脉尿路造影或逆行肾盂肾造影异常,怀疑为肾或输尿管移行细胞癌。在X线指导下,21例行逆行输尿管刷检,24例行肾盂肾盏刷检。每个病例至少刷检两个部位。涂片后95％乙醇固定、巴氏染色显微镜观察。所有病例至少经过2年以上随访。刷检结果分五级,Ⅰ级:正常移行上皮16例:Ⅱ级:不典型细胞8例:Ⅲ级:间皮细胞2例;Ⅳ级:可
To better evaluate the diagnostic value of brushing on suspicious upper urinary tract epithelial tumors, the author of 1984.1 ~ 1987.1 three years University of Pennsylvania Hospital suspected of upper urinary tract epithelial tumor by X-ray, retrograde urinary brushing The 45 cases were retrospectively studied. There were 30 males and 15 females aged 27-84 years old. Thirty-four patients had hematuria and hypochondriac pain. Intravenous urography or retrograde pyelography were abnormal in all patients and suspected renal or ureteric transitional cell carcinoma. Under the guidance of X-ray, 21 cases retrograde ureteroscopy, 24 cases of pyelonephric brushing. Brush test at least two sites in each case. After smear 95% ethanol fixed, Papanicolaou observed. All cases were followed up for at least 2 years. Brush test results in five grades, Ⅰ grade: 16 normal epithelium: Ⅱ grade: atypical cells in 8 cases: Ⅲ grade: mesothelial cells in 2 cases; Ⅳ grade: