523例卵巢病变术中冰冻与石蜡切片病理诊断的对比分析  

Comparison frozen with permanent histopathologic diagnosis of 523 cases ovarian lesions

作　　者：李凡[1] 李曼[1] 王阳阳[1] 李君[1] 李丹[1] 尹灿[1] 邹泓[1] 庞丽娟[1] 赵瑾[1] 

机构地区：[1]石河子大学医学院病理系,新疆石河子832002

出　　处：《农垦医学》2016年第1期5-8,共4页Journal of Nongken Medicine

基　　金：国家自然科学基金项目(81202120)

摘　　要：目的:通过对卵巢病变冰冻切片与术后石蜡病理诊断的对比、分析诊断不相符和可能导致误诊的原因,以提高诊断卵巢病变冰冻切片的准确率,从而减少卵巢恶性肿瘤的漏诊。方法:统计分析523例卵巢病变冰冻切片和石蜡切片的诊断结果。结果:冰冻与石蜡切片结果完全符合486例(92.9%),基本符合19例(3.6%),未确诊15例(2.9%),误诊3例(0.6%)。冰冻诊断确诊率96.6%。结论:掌握正确、规范的取材方法,提高冰冻切片质量,加强对卵巢良恶性肿瘤的认识和鉴别诊断,可提高卵巢手术中冰冻切片诊断的准确率。Objective： To analyse inconsistent diagnosis and reason of misdiagnosis by comparison frozen section and permanent histopathologic diagnosis of ovarian lesions,thereby to improve the accuracy of frozen diagnosis of ovarian lesions,then to reduce the missed diagnosis of ovarian malignant tumors.Methods：frozen and permanent histopathologic diagnosis of 523 cases ovarian lesions were analysed.Results：comparison results of frozen and permanent histopathologic diagnosis showed complete coincidence rate was 92.9%（486/523）,basic coincidence rate 3.6%（19/523）,uneertain diagnosis rate 2.9%（15/523）, misdiagnosis rate 0.6%（3/523）.Conclusion： pathologist should master correct and standard sampling,improve the quality of frozen section and strengthen the understanding of differential diagnosis of ovarian benign and malignant tumor.So,it is helpful to improve accuracy of the ovarian intraoperative frozen section diagnosis.

关 键 词：卵巢病变 冰冻切片 病理诊断 

分 类 号：R737.31[医药卫生—肿瘤]