Stewart R J, Gupta R K, Purdie G L, Isbister W H
Lancet. 1986;2(8521-22):1414-5. doi: 10.1016/s0140-6736(86)92731-5.
Fine-catheter aspiration cytology of the peritoneal cavity was successfully undertaken in 25 of 27 hospital inpatients with acute abdominal pain because it was not clear whether they required urgent laparotomy. Cytological specimens were prepared by the cyto-sieve technique. The main test criterion was the percentage of neutrophils in the peritoneal cell sample. The decision before the test about urgent laparotomy was correct in 14 of the 27 patients, whereas the decision after the test was correct in 26 of the 27 patients (p = 0.001). 4 patients were saved unnecessary laparotomy and 8 further delay in laparotomy.
对27名因急性腹痛住院且不确定是否需要紧急剖腹手术的患者中的25名成功进行了腹腔细导管抽吸细胞学检查。细胞学标本采用细胞筛技术制备。主要检测标准是腹腔细胞样本中中性粒细胞的百分比。27例患者中,术前关于紧急剖腹手术的决策在14例中正确,而术后决策在27例中的26例正确(p = 0.001)。4例患者避免了不必要的剖腹手术,另有8例剖腹手术延迟。