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[1]李 静,孙保存,刘增辉,等.2 839例术中冰冻切片诊断与术后石蜡切片诊断的对比研究[J].天津医科大学学报,2013,19(06):471-473.
　LI Jing,SUN Bao-cun,LIU Zeng-hui,et al.Comparative study between pathological diagnosis of intraoperative frozen section and postoperative paraffin section of 2 839 cases[J].Journal of Tianjin Medical University,2013,19(06):471-473.
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2 839例术中冰冻切片诊断与术后石蜡切片诊断的对比研究
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《天津医科大学学报》[ISSN:1006-8147/CN:12-1259/R]

卷:
19卷
期数:
2013年06期
页码:
471-473
栏目:
临床医学
出版日期:
2013-11-20

文章信息/Info

Title:
Comparative study between pathological diagnosis of intraoperative frozen section and postoperative paraffin section of 2 839 cases
作者:
李 静1; 2 ; 孙保存1; 2; 刘增辉1; 2; 赵秀兰1; 2
1.天津医科大学病理学教研室，天津300070；2.天津医科大学总医院病理科，天津300052
Author(s):
LI Jing1; 2;  SUN Bao-cun1; 2;  LIU Zeng-hui1; 2;  ZHAO Xiu-lan1; 2
１．Ｄepartment of Pathology，Tianjin Medical University，Tianjin 300070，China；2．Department of Pathology，General Hospital，Tianjin Medical University，Tianjin 300052，China
关键词:
冰冻切片; 石蜡切片; 病理诊断; 确诊率; 误诊
Keywords:
frozen section;  parafin section;  pathological diagnosis;  diagnosis rate;  misdiagnosis rate
分类号:
R36
DOI:
-
文献标志码:
A
摘要:
目的：研究术中冰冻病理诊断的确诊率，分析误诊的原因及减少误诊的方法。方法：回顾性分析2 839例病变的术中冰冻切片与术后制作的常规石蜡切片的诊断结果。结果：与石蜡切片比较，冰冻切片诊断总的确诊率为96.16%，恶性肿瘤的确诊率为94.74%，良性肿瘤的确诊率为96.73%，交界性肿瘤的确诊率为87.76% ，误诊率为0.92%。结论：术中冰冻切片病理诊断是术中确定病变性质的有效方法，对术中选择适当的手术方案有重要的影响。
Abstract:
Objective: To study the pathological diagnosis rate of intraoperative frozen section and to analyze the causes of misdiagnosis and to explore methods to reduce misdiagnosis. Methods: Retrospective analysis were applied to the diagnosis of intraoperative frozen section and paraffin section in 2 839 cases of lesions. Results: Compared with paraffin, the total diagnosis rate of frozen section was 96.16% and the diagnosis rate of malignant tumor was 94.74%. The diagnosis rate of benign tumors was 96.73% while the diagnosis rate of borderline tumor was 87.76% with the rate of misdiagnosis being 0.92%. Conclusion: The results suggest that intraoperative frozen section pathological diagnosis is an effective method to determine the nature of the lesions in operation, and has important implications on selecting the appropriate surgical plan.

参考文献/References:

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[7］ 齐曼丽, 陈寿松, 任勇. 卵巢肿块术中冰冻切片诊断的临床与病理分析[J]. 临床军医杂志, 2009, 37(5): 841
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备注/Memo

备注/Memo:
基金项目 国家自然科学基金重点项目（81230050）；国家自然科学基金面上项目（81173091） 作者简介 李静（1985-），女，硕士，助理实验师，研究方向：肿瘤血管生成；通信作者：孙保存，E-mail:sunbaocun@yahoo.com.cn。
更新日期/Last Update: 2013-12-20