术中冰冻切片在腮腺肿物切除术中的应用研究  

Application of intraoperative frozen sections in parotid mass resection

作　　者：卿泉 陈凤强 梁键[1] Qing Quan;Chen Fengqiang;Liang Jian(The Second People's Hospital of Nanning City,Guangxi Zhuang Autonomous Region,Guangxi Nanning 530031)

机构地区：[1]广西南宁市第二人民医院,广西南宁530031

出　　处：《中国社区医师》2020年第34期121-122,共2页Chinese Community Doctors

摘　　要：目的:探讨术中冰冻切片病理诊断在腮腺肿物切除术中的应用价值。方法:2013年1月-2019年12月收治行腮腺肿物切除术的患者84例,按照病理诊断方式不同分为两组,各42例。研究组行术中冰冻切片病理诊断及术后石蜡切片病理诊断;对照组常规行术后石蜡切片病理诊断。比较两组病理诊断情况。结果:研究组有6例延迟诊断,术中冰冻病理结果准确率为85.71%,对照组为100%,差异有统计学意义(P<0.05)。结论:目前术中冰冻切片病理诊断在腮腺肿物的良恶性鉴别中有较高确诊率,但仍需从多方面把控相关环节,方能避免延迟诊断、误诊,进一步提高确诊率。Objective:To investigate the value of pathological diagnosis of intraoperative frozen sections in parotid mass resection.Methods:From January 2013 to December 2019,84 cases of patients who underwent parotid mass resection were enrolled,they were divided into two groups according to the diagnosis methods,with 42 cases in each group.The research group performed intraoperative frozen section pathological diagnosis and postoperative paraffin section pathological diagnosis.The control group was diagnosed with conventional paraffin section pathological diagnosis.The results of postoperative pathological diagnosis were compared between the two groups.Results:There were 6 cases of delayed diagnosis in the research group,the accuracy rate of frozen pathological results was 85.71%,the control group was 100%,the difference was statistically significant(P<0.05).Conclusion:At present,intraoperative frozen section pathological diagnosis has a higher diagnosis rate in the diagnosis of benign and malignant parotid tumors,however,we still need to control the relevant links from many aspects in order to avoid delayed diagnosis,misdiagnosis and further improve the diagnosis rate.

关 键 词：腮腺 术中冰冻切片 石蜡切片 

分 类 号：R739.87[医药卫生—肿瘤]