目的 :提高胸腹水肿瘤细胞的检出率改进胸腹水操作技术。方法 :对 4 3 0例胸腹水患者进行细胞学检查 ,同时做PAS染色进行相关性研究。结果 :4 3 0例胸腹水 ,其中胸水 2 80例 ,漏出液 4 5例 ,渗出液 2 3 5例 ,肿瘤细胞 4 3例 ,腹水 15 0例 ,漏出液 3 3例 ,渗出液 117例 ,肿瘤细胞 12例 ,共检出肿瘤细胞 5 5例 ,糖元染色呈强阳性和阳性反应。结论 :胸腹水细胞学和糖元染色检查 ,在肿瘤诊断、鉴别诊断和病情监测等方面具有重要意义 Objective: To improve the detection rate of pleural and ascitic tumor cells and to improve the operation technique of pleural and ascitic fluid. Methods: Cytology was performed on 430 patients with pleural effusion and ascites, and PAS staining was performed to study the correlation. Results: There were 43 cases of hydrothorax and ascites, pleural effusion in 280 cases, 45 cases of leakage, 253 cases of exudate, 43 cases of tumor cells, 150 cases of ascites, leakage of fluid in 33 and exudate 117 For example, tumor cells in 12 cases were detected in 55 cases of tumor cells, glycogen staining was strongly positive and positive reactions. Conclusion: Cytology and glycogen staining of pleural and ascitic fluid are of great significance in diagnosis, differential diagnosis and disease monitoring