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[慢性喉炎喉黏膜的细胞诊断学研究]

[Cytodiagnostic studies of the laryngeal mucosa in chronic laryngitis].

作者信息

Meister E F, Kühndel K, Behrendt W

出版信息

Laryngol Rhinol Otol (Stuttg). 1984 Jan;63(1):41-4.

PMID:6366408
Abstract

Cytological diagnostic aids in chronic inflammation of the larynx have been rarely employed so far. A study was conducted to prove whether there is any possibility of larnygeal cytological diagnosis and whether there are any premalignant changes. In view of the results obtained by gynaecological exfoliative cytology, attention was focussed on the metaplastic cells. The frequent incidence of metaplasias was highly significant, whereas dysplasias occurred only in chronic laryngitis besides in tumours. One trend occupying higher cytological diagnostic groups in the Papanicolaou pattern was seen in chronic laryngitis. In our opinion, cytological diagnosis in laryngeal investigation is an aid in the followup control in chronic laryngitis, which is a repeatable procedure without unduly stressing the tissue. Recording of cellular changes in chronic laryngitis can enable a prospective appreciation of morphological changes, which can be useful as diagnostic tool for examining suspicious findings.

摘要

到目前为止,细胞学诊断辅助手段在喉慢性炎症中很少被应用。开展了一项研究以证明喉细胞学诊断是否存在可能性以及是否存在任何癌前病变。鉴于妇科脱落细胞学所取得的结果,注意力集中在了化生细胞上。化生的频繁发生具有高度显著性,而异型增生仅在慢性喉炎及肿瘤中出现。在巴氏涂片模式中,一种在慢性喉炎中占据更高细胞学诊断组的趋势被观察到。我们认为,喉部检查中的细胞学诊断有助于慢性喉炎的随访控制,这是一种可重复的操作,不会对组织造成过度损伤。记录慢性喉炎中的细胞变化能够对形态学变化进行前瞻性评估,这可作为检查可疑发现的诊断工具。

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