Cutler R R, Baithun S I, Doran H M, Wilson P
Newham District Microbiology Laboratories, St Andrews Hospital, London, UK.
Tuber Lung Dis. 1994 Feb;75(1):75-9. doi: 10.1016/0962-8479(94)90108-2.
The aim of this study was to determine the association between the histological diagnosis of tuberculosis and the microbiological findings and to indicate how these results affect treatment. Histopathology and microbiology records were examined retrospectively. 89 cases were identified between 1984 and 1988. 67% were diagnosed as tuberculosis (TB) by both methods, 97% were diagnosed as TB or 'compatible with TB' by histology. For 7% of these the final diagnosis was found to be other than TB. 48% of patients diagnosed as TB on the basis of histology alone were treated for TB. 70% were diagnosed as TB by microbiology and treated. When matched and appropriate specimens were sent to both departments there was a high level of agreement between histopathologists and microbiologists. There was a problem with inappropriate specimens sent to microbiology.
本研究的目的是确定结核病的组织学诊断与微生物学检查结果之间的关联，并说明这些结果如何影响治疗。对组织病理学和微生物学记录进行了回顾性检查。在1984年至1988年期间共识别出89例病例。两种方法均诊断为结核病（TB）的占67%，组织学诊断为TB或“符合TB”的占97%。其中7%的最终诊断并非TB。仅基于组织学诊断为TB的患者中，48%接受了抗结核治疗。微生物学诊断为TB并接受治疗的占70%。当将匹配且合适的标本同时送交两个科室时，组织病理学家和微生物学家之间的一致性很高。存在送交微生物学科室的标本不合适的问题。
