al-Zand K, Eichfeld U
Abteilung Thoraxchirurgie, Sächsisches Krankenhaus Zschadrass.
Zentralbl Chir. 1997;122(8):637-41.
Cytological investigations are established in thoracic surgery beside intraoperative histological examinations. We use these intraoperative cytological investigations as an additional diagnostic option for surgical decisions at our hospital for more than 15 years. 1008 intraoperative cytological findings were compared with the final histological results in a retrospective study to investigate the security of these cytological findings. The diagnostical sensitivity for the detection of any malignancy was 97.7%. A correlation of cytological and histological results was found for benign tumors in 96.2% and for inflammatory diseases in 89.2%. The cytological and histological diagnoses regarding the real histological type of malignant tumors corresponded in only 667 of 834 cases. Due to these findings we conclude that intraoperative cytology is very useful to diagnose malignancy. However, additional diagnostic and clinical parameters have to be used for making final intraoperative decisions.
除术中组织学检查外，细胞学检查已在胸外科确立。在我们医院，超过15年来我们一直将这些术中细胞学检查用作手术决策的额外诊断选项。在一项回顾性研究中，将1008例术中细胞学检查结果与最终组织学结果进行比较，以研究这些细胞学检查结果的可靠性。检测任何恶性肿瘤的诊断敏感性为97.7%。良性肿瘤的细胞学和组织学结果相关性为96.2%，炎症性疾病为89.2%。834例病例中，关于恶性肿瘤实际组织学类型的细胞学和组织学诊断仅在667例中相符。基于这些发现，我们得出结论，术中细胞学检查对诊断恶性肿瘤非常有用。然而，做出最终术中决策时还必须使用其他诊断和临床参数。
