乳腺肿块术中快速冰冻病理诊断的价值分析  

Analysis of the Value of Rapid Freezing in Pathological Diagnosis of Breast mass During Operation

作　　者：韩艳 张敏 HAN Yan;ZHANG Min(Department of Pathology,Lijin County Central Hospital,Dongying 257400,Shandong,China;Department of Gynecology,Lijin County Central Hospital,Dongying 257400,Shandong,China)

机构地区：[1]利津县中心医院病理科,山东东营257400 [2]利津县中心医院妇科,山东东营257400

出　　处：《系统医学》2025年第6期172-174,共3页Systems Medicine

摘　　要：目的探讨术中快速病理诊断方法在乳腺肿块患者中的应用价值。方法非随机选取利津县中心医院于2020年1月—2023年12月收治的80例乳腺肿块患者为研究对象,所有患者均行术中快速冰冻病理诊断操作,以术后石蜡病理学检查乳腺肿块作为金标准,分析术中快速冰冻病理的诊断效能。结果术后石蜡病理学检查显示恶性52例,良性28例。术中快速冰冻病理诊断恶性51例,良性29例,特异度为96.43%(27/28),敏感度为96.15%(50/52),准确度为96.25%(77/80),Kappa值为0.918。结论在乳腺肿块患者的临床诊断中,同术后石蜡病理学检查比较,术中快速病理诊断可以获得较高的诊断效能,诊断价值较高。Objective To explore the application value of intraoperative rapid pathological diagnosis in patients with breast masses.Methods A total of eighty patients with breast mass admitted to Lijin County Central Hospital from January 2020 to December 2023 were non-randomly selected as research object.All patients underwent intraoperative rapid freezing and pathological diagnosis.The postoperative paraffin pathology was used as the gold standard to ana-lyze the efficacy of intraoperative rapid freezing and pathological diagnosis.Results The paraffin pathology showed that 52 cases were malignant and 28 cases were benign.Intraoperative rapid freezing pathological diagnosis showed that 51 cases were malignant and 29 cases were benign.The specificity was 96.43%(27/28),the sensitivity was 96.15%(50/52),the accuracy was 96.25%(77/80),and the Kappa value was 0.918.Conclusion In the clinical diagno-sis of breast mass,compared with postoperative paraffin pathological examination,intraoperative rapid pathological di-agnosis can obtain higher diagnostic efficiency and diagnostic value.

关 键 词：乳腺肿块 术中快速冰冻病理诊断 术后石蜡病理学检查 诊断效能 

分 类 号：R737[医药卫生—肿瘤]