活检前刷检、吸取细胞学检查、活检后刷检及内镜活检在食管癌诊断中的比较。

Comparison of brush before biopsy, suction cytology, brush after biopsy and endoscopic biopsy in the diagnosis of carcinoma oesophagus.

作者信息

Singh T, Gupta N M, Bhasin D K, Rajwanshi A, Malik A K

机构信息

Department of General Surgery, Postgraduate Institute of Medical Education and Research, Chandigarh, India.

出版信息

J Gastroenterol Hepatol. 1994 Nov-Dec;9(6):564-6. doi: 10.1111/j.1440-1746.1994.tb01561.x.

DOI:10.1111/j.1440-1746.1994.tb01561.x

PMID:7865714

Abstract

A study was conducted on 40 patients of carcinoma oesophagus to compare the diagnostic yield of brush biopsy, suction cytology, brush after biopsy and endoscopic biopsy. The positive yield with brush before biopsy was 87.5%, with suction cytology 90%, with brush after biopsy 100% and with endoscopic biopsy 90%. Difference in the yield of brush after biopsy compared to other modalities was statistically insignificant (P > 0.05). However, the quantitative yield of the material was significantly high (P < 0.05) in the brush after biopsy compared to brush before biopsy. Of these three cytological modalities brush after biopsy appears to be the cytological technique of choice to be used as an adjunct to endoscopic biopsy.

摘要

对40例食管癌患者进行了一项研究，以比较刷检活检、吸取细胞学检查、活检后刷检和内镜活检的诊断阳性率。活检前刷检的阳性率为87.5%，吸取细胞学检查为90%，活检后刷检为100%，内镜活检为90%。活检后刷检与其他方法相比，阳性率差异无统计学意义（P>0.05）。然而，与活检前刷检相比，活检后刷检取材的定量阳性率显著更高（P<0.05）。在这三种细胞学方法中，活检后刷检似乎是作为内镜活检辅助手段的首选细胞学技术。