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目的:探讨胃镜涂片细胞学诊断食管癌的细胞学分级、分型及分期的可行性。方法:对5230例食管癌术前细胞学与术后组织学统计分析。结果:5230例食管癌中,5220例术前细胞学一次性确诊,10例(0.2%)行二次涂片细胞学确诊,其细胞学与组织学分型符合率达98.8%,其中5060例鳞癌细胞学与组织学分级及分期符合率达98.8%及99.7%。结论:胃镜涂片细胞学可作为诊断食管癌的常规手段有其实际临床意义。
Objective: To investigate the feasibility of gastroscopy smear cytology in the diagnosis of esophageal cancer, cytological classification, classification and staging. Methods: Preoperative cytology and postoperative histological analysis of 5230 cases of esophageal cancer were performed. Results: In 5230 cases of esophageal cancer, 5220 cases of preoperative cytology were diagnosed in one time, and 10 cases (0.2%) were confirmed by secondary smear cytology. The coincidence rate of cytology and histological classification was 98.8%, of which 5060 cases Cancer cytology and histological grading and staging coincidence rate of 98.8% and 99.7%. Conclusion: Gastroscopy smear cytology can be used as a routine measure of esophageal cancer has its practical clinical significance.