术中快速冰冻切片对于提高卵巢癌诊断准确性的影响  

Effect of intraoperative rapid frozen section on improving the diagnostic accuracy of ovarian cancer

作　　者：向黎 Xiang Li(Department of Pathology,Yibin Sixth People's Hospital,Yibin,Sichuan 644600,China)

机构地区：[1]宜宾市第六人民医院病理科,四川宜宾644600

出　　处：《中国国境卫生检疫杂志》2022年第S01期225-226,235,共3页Chinese Journal of Frontier Health and Quarantine

摘　　要：目的研究在手术中使用快速冰冻切片对于提高卵巢癌诊断准确性的影响。方法选取2020年11月-2022年1月期间于我院治疗的38例卵巢癌患者作为研究对象,将其进行术中冰冻切片的147例标本标记为观察组。另选剩余组织进行石蜡切片.石蜡切片总计147例,并将其标记为对照组。对比两组切片标本的诊断、组织学检查与肿瘤鉴别结果,分析不同类型切片的诊断准确性。结果观察组与对照组的一致性为95.91%.完全一致率为86.37%、基本一致率为90.52%,两组切片的细胞学检查结果显示,其来源在性索细胞与其他情况时一致率达到100%.而其来源在体腔上皮与生殖细胞时,一致性出现偏误,分别为88.46%与86.36%。两组切片的良恶性肿瘤鉴别结果显示,其良性肿瘤的一致性比率为95.40%,交界性肿瘤的一致性比率为80.76%,恶性肿瘤的一致性比率为87.17%。结论相较于石蜡切片,术中快速冰冻切片辅助诊断.对卵巢癌确诊与患病部位探寻的准确性有积极作用。Objective To study the effect of rapid frozen section in operation on improving the diagnostic accuracy of ovarian cancer.Methods 38 patients with ovarian cancer who were treated in our hospital from November 2020 to January 2022 were selected as the research objects,and 147 samples of frozen sections were marked as the observation group.The remaining tissues were selected for paraffin section.A total of 147 cases were paraffin sectioned and labeled as the control group.The diagnostic accuracy of different types of sections was analyzed by comparing the diagnostic results,histological examination and tumor differentiation between the two groups.Results The consistency between the observation group and the control group was 95.91%,the complete consistency rate was 86.37%,and the basic consistency rate was 90.52%.The cytological examination results of the sections of the two groups showed that the consistency rate reached 100% when the sex cord cells were derived from other conditions,while the consistency was biased when the cells were derived from the body cavity epithelium and germ cells,which were 88.46% and 86.36%respectively.The results of differentiation between benign and malignant tumors showed that the consistency rate of benign tumors,borderline tumors and malignant tumors was 95.40%,80.76% and 87.17%,respectively.Conclusion Compared with paraffin section,the use of intraoperative rapid frozen section for auxiliary diagnosis plays a positive role in the accuracy of the diagnosis of ovarian cancer and the search for the location of the disease.

关 键 词：术中快速冰冻切片 卵巢癌 诊断准确性 

分 类 号：R183[医药卫生—流行病学]