Objective To explore the clinical value of fine needle aspiration cytology examination for the diagnosis of adult s cervical lymph nodes disease. Methods Cytopathology analysis of cervical lymph nodes was performed among 314 adult patients, accepting fine needle aspiration examination during January 2006 and December 2010 in this hospital. Results Among all enrolled subjects , 112 cases of lymph node reactive hyperplasia, 14 cases of suppurative lymphadenitis , 51 cases of crewels , 37 cases of lymphoma and 87 cases of metastatic cancer were diagnosed , 9 cases were with uncertain diagnosis and 4 cases were with misdiagnosis. The compliance of fine needle aspiration cytology diagnosis was 95. 9%. Conclusion Fine needle aspiration cytology could be used as one effective method for detection of cervical lymph nodes diseases, with advantages of high accuracy,quick, easy, and security, and be worthy for wide spread application in various levels of hospital.%目的 探讨细针穿刺细胞学检查在成人颈部淋巴结疾病诊断中的临床应用价值.方法 对2006年1月至2010年12月期间该院314例成人颈部淋巴结细针穿刺涂片结果进行细胞病理学分析.结果 淋巴结反应性增生112例,化脓性淋巴结炎14例,淋巴结核51例,淋巴瘤37例,转移癌87例,诊断不明确9例,误诊4例,穿刺细胞诊断符合率为95.9%.结论 细针穿刺细胞学检查可作为颈部淋巴结疾病诊断的有效方法之一,具有准确率高、简单快捷和经济安全等优点,适合各级医院广泛应用.
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