关键词: 结核, 结核性积液, 细胞学图文报告

Abstract:

Objective To analyze the relation of tuberculous effusion diagnosed by clinic and the results of graphic report,and to investigate the clinical role of graphic reports indicating tuberculous effusion. Methods With the changes of lymphocyte（LY）,macrophage（Ma）,neutrophil（NE） and mesothelial（Me） cell,224 cases of clinically confirmed tuberculous effusion and 82 cases with graphic reports which could not indicate tuberculous effusion were analyzed. Results The positive coincidence rate with clinical diagnosis increased from 39.4% in low value group（LY<60%） to 78.8% in high value group（LY≥80%）. There were the cases with graphic reports not indicating tuberculous effusion,accounting for 36.6%. The causes of missed diagnosis were mainly hemodilution or lack of LY,followed by the presence of nuclear heterogeneous cell interference and the increase of other types of cells. Conclusions The comparison of graphic report and clinical diagnosis can reveal the characteristics of cytological changes of tuberculous effusion,and provide a new idea for the clinical diagnosis of tuberculous effusion and the study of pathogenesis.

Key words: Tuberculosis, Tuberculous effusion, Cytological graphic report