Latapi-Contreras F, Caire-Loyer P, Flores-Alonso O, Flores-Romero R M
Centro-dermatológico Ladislao de la Pascua, Secretaria de Salud, Mexico, DF.
Acta Leprol. 1988 Jan-Mar;6(1):7-16.
Fine needle aspiration of lymph nodes was performed in 50 leprosy patients and was compared with usual techniques of bacillary smears taken from nasal mucosa, ear lobule and cutaneous lesion we found that the former was more sensible (30%) regarding bacteriologic and morphologic (34%) indices; moreover this proceeding was more sensible (50%) en patients with type II leprosy reaction. After 6 month-multi-therapy schedule in 3 patients, the morphologic index decreases 2 points (SFG) and bacteriologic index 1 + (mean value). It is concluded that fine needle aspiration of lymph nodes is a useful method, because of its simplicity and low traumatic effects and its sensibility to follow-up treatment and reactional phases.
对50例麻风患者进行了淋巴结细针穿刺,并与从鼻粘膜、耳垂和皮肤病变处采集杆菌涂片的常规技术进行了比较。我们发现,就细菌学指标(30%)和形态学指标(34%)而言,前者更为敏感;此外,在Ⅱ型麻风反应患者中,该操作更为敏感(50%)。3例患者经过6个月的多药治疗方案后,形态学指标下降2分(SFG),细菌学指标下降1+(平均值)。得出结论,淋巴结细针穿刺是一种有用的方法,因为它操作简单、创伤小,并且对后续治疗和反应期敏感。