Cytology of chlamydial infection in gynecological smears - Relation between the method of cellular collection and the incidence of the nebular inclusion.:Relation between the method of cellular collection and the incidence of the nebular inclusion

概要

論文の詳細を見る
296 Papanicolaou specimens (cervical self scraper 103 cases), cotton swab (98 cases), wooden spatula (95 cases) which had been cytologically diagnosed as trichomoniasis were observed to make comparative studies of the incidence of the nebular inclusions (NI), characteristic features in chlamydial infection. Trichomoniasis cases were taken up because it is one of sexually transmitted diseases similar to chlamydial infection.<BR>1) The NI were detected at a high rate in the wooden spatula smears (11.5%), as compared with the other two methods, cotton swab (3.1%) and cervical self scraper (1.0%).<BR>2) The finding that 55.8% of chlamydial host cells were the squamous metaplastic cell is of great importance for detecting of the NI in the cervical specimens.<BR>3) In the wooden spatula smears, while NI are found at a high rate, resembling inclusions difficult to distinguish microscopically will appear in a great number. However, the application of the immunoperoxidase technique (PAP) after destaining of Papanicolaou preparation enables us to differentiate the NI from such inclusions as EI or HeI, etc.<BR>Judging from these results, the technique using the wooden spatula, having some weak point of bleeding leading to unsatisfactory observation on colposcopy, seems to be considerable use in making a diagnosis in the gynecological fild, especially of chlamydial infection.
特定非営利活動法人日本臨床細胞学会の論文