首页|结膜刮片涂片细胞学检测在结膜病鉴别中的临床意义

结膜刮片涂片细胞学检测在结膜病鉴别中的临床意义

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目的 探讨结膜刮片涂片细胞学检测在结膜病鉴别中的临床意义表达,以其为临床早期诊断、制定干预方案提供参考依据.方法 回顾性选取 68 例疑似结膜病患者作为研究对象,入院后均行结膜刮片涂片细胞学检查及细菌病毒学检查,以临床检查、病原学检查结果为"金标准",比较结膜刮片涂片细胞学检查、细菌、病毒培养检查对结膜病的诊断结果、诊断效能,并比较其对不同类型结膜病的检出率.结果 经临床检查、病原学检查显示,68 例疑似结膜病患者中,阳性 52 例,经结膜刮片涂片细胞学检查结果显示,阳性 50 例,经细菌、病毒培养检查结果显示,阳性 41 例;结膜刮片涂片细胞学检查对结膜病的诊断灵敏度为 73.08%(38/52)、准确度 75.00%(51/68),漏诊率为 7.69%(4/52),低于细菌、病毒培养检查漏诊率 26.92%(14/52)(P<0.05).结论 结膜刮片涂片细胞学检查可有效提高结膜病诊断准确性,临床可通过其进行早期筛查诊断,可辅助临床明确结膜病类型,针对性制定治疗方案,以尽早给予治疗.
Analysis of the Value of Conjunctival Smear Cytology in the Differential Diagnosis of Conjunctival Disease
Objective To investigate the expression of clinical significance of conjunctival smear cytology in the differ-ential diagnosis of conjunctival diseases,and to provide reference for early clinical diagnosis and intervention.Methods 68 patients with suspected conjunctivitis were retrospectively selected as the research objects.All patients underwent conjunctival scraping smear cytology and bacterial virological examination after admission.The results of clinical examination and pathogenic examination were taken as the"gold standard".The detection rates of different types of conjunctival diseases were compared.Results Among 68 suspected conjunctival diseases,52 cases were positive by clinical examination and pathogenic examination,50 cases were positive by conjunctival smear cytology examination,and 41 cases were positive by bacterial and virus culture examination.The diagnostic sensitivity,accuracy and missed diagnosis rate of conjunctival smear cytology were 73.08%(38/52),75.00%(51/68)and 7.69%(4/52),which were lower than 26.92%(14/52)of bacteria and virus culture(P<0.05).Conclusions Conjunctival smear cytology can effectively improve the accuracy of the diagnosis of conjunctival dis-ease,and can be used for early screening and diagnosis,which can assist clinical to clarify the type of conjunctival disease,and formulate targeted treatment plans,so as to give treatment as soon as possible.

Conjunctival diseasesBacterial cultureVirus cultureConjunctival scrapingCytologic testing

郭子嘉、褚启涉、杨到凤、左守壮

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濮阳市第二人民医院医学检验科,河南 濮阳 457000

濮阳市人民医院眼科,河南 濮阳 457000

结膜病 细菌培养 病毒培养 结膜刮片 细胞学检测

河南省医学科技攻关联合共建项目

LHGJ20221023

2024

哈尔滨医药
哈尔滨市医学会

哈尔滨医药

影响因子:0.697
ISSN:1001-8131
年,卷(期):2024.44(4)
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