Kumar N D, Bhatia A, Misra K, Suri J C
University College of Medical Sciences and Associated Hospitals, Shahdara, Delhi.
J Indian Med Assoc. 1995 Aug;93(8):307-9.
Pleural fluid cytology and pleural biopsy results were studied in 65 cases of pleural effusion. The efficacy of pleural biopsy in diagnosis of neoplastic and non-neoplastic pleural diseases was compared. Of the 24 cases with confirmatory evidence of cancer, 17(70.8%) has positive cytologic findings in pleural fluid, whereas pleural biopsy was diagnostic in only 13 cases (54.1%). For non-malignant pleural effusion in 41 cases 40(97.5%) has a definite diagnosis (tuberculous pleuritis, acute fibrinous pleuritis or hydatid cyst) which could be made by cytology while only 31(75.6%) out of 41 were diagnosed on pleural biopsy. The study indicates that cytologic evaluation of pleural fluid is more efficaceous in the diagnosis of malignant and non-malignant pleural disease than percutaneous pleural biopsy.
对65例胸腔积液患者的胸水细胞学检查和胸膜活检结果进行了研究。比较了胸膜活检在诊断肿瘤性和非肿瘤性胸膜疾病中的疗效。在24例确诊为癌症的病例中，17例（70.8%）胸水细胞学检查结果为阳性，而胸膜活检仅诊断出13例（54.1%）。对于41例非恶性胸腔积液患者，40例（97.5%）通过细胞学检查可明确诊断（结核性胸膜炎、急性纤维素性胸膜炎或包虫囊肿），而41例中只有31例（75.6%）通过胸膜活检确诊。该研究表明，胸水的细胞学评估在诊断恶性和非恶性胸膜疾病方面比经皮胸膜活检更有效。
