摘要
目的探讨脑脊液细胞学的检查,对神经科常见疾病的诊断、治疗及预后判断的价值。方法采用细胞玻片离心仪自动涂片,瑞-姬氏染色,光学显微镜分类计数。结果150例化脓性脑膜炎(化脑)急性期均以嗜中性粒细胞为主。80例结核性脑膜炎(结脑)急性期以混合性细胞为主。50例病毒性脑膜炎(病脑)以淋巴细胞为主。5例新型隐球菌性脑膜炎(隐脑)在脑脊液中找到了隐球菌。30例脑囊虫病,在急性期嗜酸性粒细胞占10%-90%,慢性期有大量的浆细胞。33例脑膜白血病在脑脊液中找到了白血病细胞。3例淋巴瘤在脑脊液中找到了淋巴瘤细胞。结论(1)应用细胞玻片离心仪制片能将脑脊液中本来就少的细胞集中收集并将其平展紧贴于载玻片上使得细胞结构清晰易辨。(2)脑脊液细胞学检查对临床上常见的中枢神经系统疾病的诊断具有重要的意义。
Objective To study the value of cerebrospinal fluid （CSF） cytology test in diagnosis, treatment and prognosis of general neurological diseases. Methods Cytospin was use to centrifugalize and stain specimen automatically. The May- Gronwald - Giemsa＇s stain was applied to routine cytology. Optical microscope was applied to classify and number cells in CSF. Results Nutrophil cells are the most common findings in the acute period in 150 patients＇ CSF of suppurative meningitis. Mixed cells are common findings in the acute period in 80 patients＇ CSF of tuberculous meningitis. Lymphoblasts are common findings in 50 patients＇ CSF of viral meningitis Cyptococcus are found in 5 patients＇ CSF of cryptococcal meningitis. Eosinophile account for 10 to 90 percent of cells in the acute period in 30 patients＇ CSF of cerebral cysticercosis.A lot of phlogocytes are found in the chronic period. Leukemia cells are found in 33 patients＇ CSF of membrana eerebri leukcmia, Lymphoma cells are found in 3 patients＇ CSF of lymphoma. Conclusion Applying Cytospin can collect cells which is few in CSF. Cells will be extended and flat on glass slide . Cell structure will be clear to identify; CSF cytology test plays an important role in the diagnosis of commonly seen central nerve system diseases.
出处
《宁夏医学杂志》
CAS
2005年第8期530-531,F0003,共3页
Ningxia Medical Journal
关键词
脑脊液
细胞学
常见疾病
Cerebrospinal fluid
Cytology
General diseases
