术前临床细胞学诊断骨盆放线菌病。
Preoperative diagnosis of pelvic actinomycosis by clinical cytology.
机构信息
Department of Obstetrics and Gynecology, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki, Japan.
出版信息
Int J Womens Health. 2012;4:527-33. doi: 10.2147/IJWH.S35573. Epub 2012 Sep 27.
BACKGROUND
The purpose of this work was to investigate whether clinical cytology could be useful in the preoperative diagnosis of pelvic actinomycosis.
METHODS
This study involved the prospective collection of samples derived from the endometrium and the uterine cervix, and retrospective data analysis. Nine patients with clinically diagnosed pelvic actinomycosis were enrolled. The clinical and hematological characteristics of patients were recorded, and detection of actinomyces was performed by cytology, pathology, and bacteriological culture of samples and by imprint intrauterine contraceptive device (IUD) cytology.
RESULTS
The detection rate of actinomyces was 77.7% by combined cervical and endometrial cytology, 50.0% by pathology, and 11.1% by bacterial culture.
CONCLUSION
The higher detection rate of actinomyces by cytology than by pathology or bacteriology suggests that careful cytological examination may be clinically useful in the preoperative diagnosis of pelvic actinomycosis.
背景
本研究旨在探讨临床细胞学检查在盆腔放线菌病术前诊断中的应用价值。
方法
前瞻性采集子宫内膜和子宫颈标本，回顾性数据分析。共纳入 9 例临床诊断为盆腔放线菌病的患者。记录患者的临床和血液学特征，通过细胞学、病理学和样本细菌培养以及宫内节育器（IUD）印片细胞学检查来检测放线菌。
结果
联合宫颈和子宫内膜细胞学检查的放线菌检出率为 77.7%，病理学检查为 50.0%，细菌培养为 11.1%。
结论
细胞学检查的放线菌检出率高于病理学或细菌学检查，提示仔细的细胞学检查可能对盆腔放线菌病的术前诊断具有临床价值。
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