Kawarada Y, Nagata N, Takayama K, Shigematsu N, Ishibashi T
Research Institute for Diseases of the Chest, Faculty of Medicine, Kyushu University, Fukuoka, Japan.
Kekkaku. 1990 Sep;65(9):575-9.
We examined the significance of pleural fluid cytology in differentiation between tuberculous and non-tuberculous pleurisy in patients with lymphocyte-predominant pleural effusion. We divided pleural fluid cytologic findings into two patterns, that is "tuberculous" and "non-tuberculous pattern", according to the report by Spieler, and compared the cytologic pattern with the final clinical diagnosis. Thirteen out of 19 cases (68.4%) with tuberculous pleurisy showed "tuberculous pattern" in the pleural fluid cytology, while four (pleurisy associated with collagen-vascular disease, asbestosis and carcinoma, and idiopathic pleurisy) out of 13 (30.8%) with non-tuberculous pleurisy revealed "tuberculous pattern". The pleural fluid cytology could be used as one of the additional means to differentiate between tuberculous and non-tuberculous pleurisy, though it is impossible to differentiate between them with the pleural fluid cytology alone.
我们研究了在以淋巴细胞为主的胸腔积液患者中，胸水细胞学检查在鉴别结核性胸膜炎和非结核性胸膜炎方面的意义。根据施皮勒的报告，我们将胸水细胞学检查结果分为两种模式，即“结核性”和“非结核性模式”，并将细胞学模式与最终临床诊断进行比较。19例结核性胸膜炎患者中有13例（68.4%）胸水细胞学检查显示“结核性模式”，而13例非结核性胸膜炎患者中有4例（与胶原血管病、石棉沉着病、癌及特发性胸膜炎相关）（30.8%）显示“结核性模式”。胸水细胞学检查可作为鉴别结核性胸膜炎和非结核性胸膜炎的辅助手段之一，尽管仅靠胸水细胞学检查无法区分二者。
