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[背景 ]探讨刷片细胞学检查在胃及食管癌诊断中的价值 .[病例报告 ]用刷片细胞学检查诊断为胃、食管癌的 2 13例与病理活体检查结果进行比较 .[结果 ]刷片细胞学检查与病理诊断完全符合 16 8例 (78 9% ) ,基本符合 19例 (8 9% ) ,总的符合率为 87 8% .不符合的为 2 6例(12 2 % ) ,其中刷片细胞学检查假阳性 2 2例 (10 3% ) ,病理诊断为胃溃疡 10例 ,萎缩性胃炎 5例 ,浅表性胃炎伴糜烂 2例 ,不典型增生 2例 ,单纯增生 3例 .刷片细胞学检查阳性而病理活体检查假阴性 4例 ,术后证实为癌症 .[讨论 ]刷片细胞学检查总的符合率接近活体检查的阳性率 .鉴别胃溃疡的脱落的变性、退化的上皮细胞 ,萎缩性胃炎时肠化的上皮细胞及不典型增生细胞是减少刷片细胞学检查假阳性的关键 .刷片细胞学检查阳性 ,活体检查阴性时不能只强调活体检查结果而轻易排除癌的诊断 .
[Background] To investigate the value of brush cytology in the diagnosis of gastric and esophageal cancer. [Case report] 2 13 cases of gastric and esophageal cancer diagnosed by brush cytology were compared with pathological biopsy results. [Results] The cytology and pathological diagnosis of the brush were in full compliance with 16 8 cases (78 9%), basically in 19 cases (8 9%), and the overall compliance rate was 87 8%. The non-conformance was 26 cases (12 2%). Among them, 22 cases (10 3%) were false positive by brush cytology, 10 were pathologically diagnosed as gastric ulcer, 5 were atrophic gastritis, 2 were superficial gastritis with erosion, 2 were atypical hyperplasia, and 3 were simple hyperplasia. Cases. Positive brush cytology and pathological biopsy false negative in 4 cases, confirmed after surgery. [Discussion] The total coincidence rate of brush cytology is close to the positive rate of biopsy. Identify the shedding of the gastric ulcer degeneration, Degeneration of epithelial cells, atrophic gastritis when the intestinal epithelial cells and atypical hyperplasia cells is the key to reduce the false positive brush brush cytology. Brush cytology positive, negative biopsy can not just emphasize the results of biopsy and easy Exclusion of cancer diagnosis.