本文报告1982～1987年间我科住院的105例散脑患者CSF细胞学检查结果,探讨其临床诊断价值。 对象 散脑组105例,男63例,女42例,年龄3～62岁,平均29岁。正常对照组26例,均为成人非神经系统病。病理对照组34例,其中多发性硬化13例,急性感染性多发性神经炎21例,年龄4～59岁,平均35岁。以上病例均经临床、CSF常规及生化和/或脑电图、CT等检查确诊。 方法 用腰穿所得新鲜CSF 1ml,常规细胞计数,然后放入CSF细胞沉淀室内,自然沉淀或玻片离心法收集细胞,MGG染色、固封、镜检。细胞的识别和分类,参考有关资料及侯氏标准,但把淋巴样细胞归入转化型淋巴。计算各种有核细胞的检出率,并作统计学处理。 结果与分析 26例正常对照组细胞计数为(0—5)×10~6/L,小淋巴及单核样细胞平均占63.64±7.04％及31.31±6.56％,偶见中性粒细胞。散脑105 This article reports the CSF cytology results of 105 patients with scattered brain in our hospital from 1982 to 1987, and discusses the clinical diagnostic value. Subjects scattered brain group 105 cases, 63 males and 42 females, aged 3 to 62 years, mean 29 years. The control group of 26 cases, all non-neurological diseases in adults. 34 cases of pathological control group, including 13 cases of multiple sclerosis, acute infectious polyneuritis in 21 cases, aged 4 to 59 years, mean 35 years. The above cases were clinically, CSF and biochemical and / or EEG, CT and other tests confirmed. Methods 1 ml of fresh CSF obtained by lumbar puncture was used for routine cell counting and then placed in CSF cell sedimentation chamber. Cells were collected by sedimentation or glass slide centrifugation and stained with MGG. Cell identification and classification, refer to the relevant information and Hou criteria, but the lymphoid cells classified as lymphoid transformation. Calculate the detection rate of various nucleated cells, and for statistical analysis. Results and Analysis The number of lymphocytes and mononuclear cells in 26 normal controls was (0-5) × 10 ~ 6 / L, with an average of 63.64 ± 7.04% and 31.31 ± 6.56%, respectively, and occasionally neutrophils. Spit brain 105