胰腺肿块术中细针穿刺细胞学与快速组织学诊断的对比研究  

Comparison between intra-operative fine needle aspiration cytology and rapid histopathologic examination of a pancreatic mass

作　　者：王旭波[1] 宋艳华[2] 时凤娈[1] 王鹏程[1] 王颖[1] 陈卫花[1] 

机构地区：[1]徐州医学院第二附属医院病理科,221006 [2]永城市人民医院病理科

出　　处：《中华肿瘤杂志》2003年第1期85-87,共3页Chinese Journal of Oncology

摘　　要：目的探讨术中细针穿刺细胞学与快速病理组织学对胰腺肿块的诊断价值。方法56例患者行胰腺肿块探查术,术中直视下对胰腺肿块行细针穿刺涂片同时切取活检行快速组织学观察,并与术后病理诊断作对比研究。结果术中细胞学和术中快速组织学与术后病理诊断对比分析,细胞学的准确性、敏感性和特异性分别为94.6％、95.3％和92.3％;术中快速组织学的准确性、敏感性和特异性分别为92.9％、90.7％和100％。结论细针穿刺细胞学快速实用,安全可靠,与快速组织学同时使用可以提高胰腺癌的检出率,对肿瘤病理分级和组织起源起到互补作用。Objective To evaluate the value in diagnosis by fine needle aspiration cytology and rapid histopathologic examination during operation of a pancreatic mass. Methods Both fine needle aspiration cytology and rapid histopathologic examination were performed during the operation of 56 patients with pancreatic mass. Results The accuracy, sensitivity and specificity of intraoperative cytologic examination were 94. 6 % , 95. 3 % and 92.3% ,as compared with 92.9% , 90.7% and 100% in rapid paraffin section intraoperative examination. Conclusion Fine needle aspiration is rapid, practical and safe. It is able to improve the diagnosis, pathologic grade and hitological origin of pancreatic tumor when combined with rapid hitopathologic examination.

关 键 词：胰腺肿瘤 诊断 细针穿刺细胞学检查 快速病理组织学检查 

分 类 号：R735.9[医药卫生—肿瘤] R730.43[医药卫生—临床医学]