基层医院肿瘤病理诊断中术中冰冻的应用研究  

Application of intraoperative frozen diagnosis in pathological diagnosis of primary hospital

作　　者：李胜[1] 

机构地区：[1]阆中市人民医院病理科,637400

出　　处：《中国社区医师》2018年第3期96-97,共2页Chinese Community Doctors

摘　　要：目的:分析术中冰冻诊断方法在基层医院肿瘤病理诊断中的应用价值。方法:收治肿瘤患者493例,对其分别采取术中冰冻切片病理诊断与术后石蜡切片病理诊断,之后再分析其符合情况,并对术中冰冻切片病理诊断出现误诊及延迟诊断的原因进行分析。结果:术中冰冻切片病理诊断的误诊率1.01%,其中假阳性3例(0.95%)、假阴性2例(1.13%);延迟诊断率0.41%;总确诊率98.58%,恶性肿瘤确诊率97.74%,良性肿瘤确诊率99.05%。结论:术中冰冻在判断肿瘤性质、确定手术范围及方法中发挥着重要的作用,其诊断精准度非常高,将其应用于基层医院的肿瘤病理诊断之中,可以显著提升基层医院的整体技术水平。Objective:To analyze the value of intraoperative frozen diagnosis in the pathological diagnosis of primary hospital tumors.Methods:493 patients with tumor were selected.The frozen section pathological diagnosis and pathological diagnosis of paraffin section after operation were performed.Its compliance,the causes of misdiagnosis and delayed diagnosis of frozen section pathological diagnosis were analyzed.Results:The misdiagnosis rate of frozen section pathological diagnosis was 1.01%,including false positive in 3 cases(0.95%)and false negative in 2 cases(1.13%).The delayed diagnosis rate was 0.41%,the total diagnosis rate was 98.58%,the diagnosis rate of malignant tumor was 97.74%,and the diagnosis rate of benign tumor was 99.05%.Conclusion:Intraoperative freezing plays an important role in judging the nature of tumor,determining the scope and method of operation.Its diagnostic accuracy is very high,applying it to the pathological diagnosis of primary medicine can significantly improve the overall technical level of primary hospital.

关 键 词：基层医院 肿瘤病理诊断 术中冰冻 

分 类 号：R730.43[医药卫生—肿瘤]