甲状腺手术中快速冷冻病理切片的临床意义  

Clinical Significance of Rapid Freezing Pathological Section in Thyroid Surgery

作　　者：孙金波 SUN Jin-bo(Central Hospital of Liaoyuan,Liaoyuan 136200,China)

机构地区：[1]吉林省辽源市中心医院,吉林辽源136200

出　　处：《中国医药指南》2020年第17期74-75,共2页Guide of China Medicine

摘　　要：目的对甲状腺手术中快速冷冻病理切片的临床意义进行分析与探究。方法对本院从2016年1月至2018年1月收治的320例患者资料进行回顾性的分析。结果320例患者中共有310例患者接受甲状腺手术,310例患者的定性诊断准确率高达98.39%。其中有18例患者因检查结果为甲状腺恶性肿瘤而再次接受手术,另外有10例患者接受甲状腺癌根治术,这10例患者并位于本院进行手术,所以并未对其进行快速冷冻病理切片诊断。结论因为甲状腺疾病较为特殊,所以无法在手术前判断甲状腺患者的病变性质,而快速冷冻病理切片的推行与使用,使得甲状腺的定性诊断率得到了有效的提升。可见,快速冷冻病理切片是减少二次手术率的关键措施,可减轻甲状腺患者的痛苦,提高患者的生活质量与预后质量,还为患者减轻了经济与心理上的负担,意义十分深远。Objective To analyze and explore the clinical significance of rapid frozen pathological sections in thyroid surgery.Methods A retrospective analysis was performed on the data of 320 patients admitted to our hospital from January 2016 to January 2018.Results A total of 310 patients underwent thyroid surgery in 320 patients.The qualitative diagnosis accuracy rate of 310 patients was as high as 98.39%.Among them,18 patients underwent surgery again because the test results were thyroid malignancies,and another 10 patients underwent radical thyroid cancer surgery.These 10 patients were operated in our hospital,so they were not diagnosed by rapid frozen pathology.Conclusion Because the thyroid disease is special,it is impossible to determine the nature of the disease in patients with thyroid disease before surgery.The implementation and use of fast frozen pathological sections have effectively improved the qualitative diagnosis rate of thyroid.It can be seen that rapid freezing of pathological sections is a key measure to reduce the rate of secondary surgery.It can reduce the pain of thyroid patients,improve the quality of life and prognosis of patients,and also reduce the economic and psychological burden on patients.

关 键 词：甲状腺手术 快速冷冻 病理切片 

分 类 号：R581[医药卫生—内分泌]