甲状腺微小癌术中冰冻切片病理诊断准确性分析  

Analysis on Pathological Diagnosis Accuracy of Thyroid Microcarcinoma Frozen Sections

作　　者：李修顺[1] 魏民[1] 杨会杰[1] 宋金凤[1] 朱建红[1] 

机构地区：[1]河南省濮阳市油田总医院病理科,河南濮阳457001

出　　处：《中国现代医生》2009年第21期185-186,208,共3页China Modern Doctor

摘　　要：目的分析甲状腺微小癌术中冰冻切片病理诊断的准确性及误漏诊原因。方法对524甲状腺外科手术中冰冻切片病理诊断结果和常规石蜡切片病理诊断结果进行对比分析。结果524例甲状腺手术中共检出甲状腺微小癌41例,全部为乳头状微小癌,检出率为12.8%(41/524);其中术中确诊29例,确诊率为70.7%(29/41);延迟诊断5例,延迟率为12.2%(5/41);误诊5例,误诊率为12.2%(5/41);均为假阴性,无一例假阳性发生;漏诊2例,漏诊率为4.9%(2/41)。结论冰冻切片病理诊断在甲状腺手术中对确定病变性质和选择合理手术方式,预防漏诊和避免二次手术意义重大,应作为甲状腺术中的常规检查项目。Objective To analyze the accuracy and missed diagnosis reasons of thyroid microcarcinoma pathological diagnosis for frozen section pathological diagnosis. Methods Frozen sections from 524 cases surgical intervention and routine pathohistological examined result were correlation analyzed. Results In 524 cases,41 cases thyroid microcareinoma were detected and were papillary totally （12.8%,41/524）. In which 29 cases were final. Diagnosis in operation（70.7% ,29/41 ）. 5 cases were delay diagnosis（ 12.2% ,5/41 ）. 5 cases were missed diagnosis （12.2%,5/41） and which were false negative all 2 cases were missed diagnosis（4.9%,2/41 ）. Conclusion The results suggest frozen section Pathological diagnosis play an important role in the nature of thyroid operation. It should be routine examination in thyroid operation.

关 键 词：甲状腺微小癌 冰冻切片 准确性 

分 类 号：R736.1[医药卫生—肿瘤]