Lightdale C J, Hajdu S I, Luisi C B
Am J Gastroenterol. 1980 Jul;74(1):21-4.
A sheathed cytology brush, fashioned to be used during laparoscopy, is described for brushing the surface of the liver, spleen and peritoneum. The method has had no morbidity or complication in 100 consecutive patients. and has been highly successful in obtaining diagnostic cytological material from malignant neoplasms involving the liver (94%) and peritoneum (100%). In two cases, biopsies of tumor nodules were nondiagnostic, while brush cytology definitively documented malignancy. Because the brushing induces minimal trauma and is quick and simple to perform, it is suggested that brush cytology be considered a supplement to needle and forceps biopsies during laparoscopy. The stainless steel sheath on the brush eliminates concern over loss of cytologic material during brush withdrawal.
本文描述了一种用于腹腔镜检查的带鞘细胞学刷，用于刷取肝脏、脾脏和腹膜表面。该方法在连续100例患者中未出现发病率或并发症，并且在从涉及肝脏（94%）和腹膜（100%）的恶性肿瘤中获取诊断性细胞学材料方面非常成功。在两例病例中，肿瘤结节活检未能明确诊断，而刷片细胞学明确记录为恶性肿瘤。由于刷取引起的创伤极小，操作快速简便，建议在腹腔镜检查期间将刷片细胞学视为针吸活检和钳取活检的补充。刷头上的不锈钢鞘消除了在刷头拔出过程中细胞学材料丢失的担忧。
