Leesik Kh P, Reintam M A
Ter Arkh. 1986;58(4):100-2.
A total of 8055 cytological examinations of the sputum, bronchial secretion, pleural exudate, aspirate of the puncture of the lungs and peripheral lymph nodes were performed in 6525 patients with different pulmonary diseases. Neutrophilic, macrophagal and eosinophilic types of changes on cytograms were of clinical importance in patients with inflammatory bronchial and pulmonary diseases and bronchial asthma. In sarcoidosis epithelioid cells in the bronchial secretion were found in 11%, specific elements in tuberculosis in 5% of the patients. Comparison of the cytological and histological data in cancer patients showed coincidence in 94% of the patients. A possibility of a wide use of cytological studies in comprehensive diagnosis of pulmonary diseases was proved and their clinical importance shown.
对6525例患有不同肺部疾病的患者进行了共计8055次痰液、支气管分泌物、胸腔积液、肺穿刺抽吸物及外周淋巴结的细胞学检查。在患有炎症性支气管和肺部疾病以及支气管哮喘的患者中,细胞涂片上的中性粒细胞、巨噬细胞和嗜酸性粒细胞类型的变化具有临床意义。在结节病患者中,11%的支气管分泌物中发现了上皮样细胞,5%的肺结核患者发现了特异性成分。癌症患者细胞学和组织学数据的比较显示,94%的患者结果相符。证明了细胞学研究在肺部疾病综合诊断中广泛应用的可能性,并显示了其临床重要性。