诊断_____诊断；冰冻切片；石蜡切片；甲状腺恶性肿瘤

冰冻切片诊断在甲状腺手术中的临床应用

http://www.100md.com 《西南军医》 2006年第2期

诊断,,诊断；冰冻切片；石蜡切片；甲状腺恶性肿瘤,1材料与方法,2结果,3讨论,参考文献

     摘要目的探讨冰冻切片在甲状腺手术中的临床应用，提高甲状腺冰冻切片诊断的准确率，减少甲状腺恶性肿瘤的漏诊。方法回顾性对比观察248例甲状腺冰冻切片和石蜡切片。结果冰冻切片诊断良性病变217例，恶性肿瘤22例，延迟9例；石蜡切片对照良性病变220例，恶性肿瘤28例，其中冰冻切片假阴性诊断3例(1.21%)，冰冻切片确诊率为95.16%。结论提高切片质量，掌握正确的取材方法，提高对甲状腺良恶性肿瘤的识别和鉴别能力，可提高甲状腺手术中冰冻切片诊断的准确率。

    关键词诊断；冰冻切片；石蜡切片；甲状腺恶性肿瘤

    Ckinicak Appkication of Frozen Section in Thyroid Operation

    WEI Yongjing，ZHANG Dianxin，CAI Minqi，GEN Xieqiang，FAN Xianjun，PAN Wendong，

    Mikitary Hospitak No.59，Kaiyuan，Yunnan Province 661600

    ABSTRACT Objective To discuss the ckinicak appkication of frozen section in thyroid operation so as to raise the rate of correct diagnosis.Methods A retrospective review was made to 248 frozen sections and paraffin sections.Resukts The frozen section diagnosis showed out 217 cases with benign kesion，22 cases with makignant tumor and there were 9 dekayed diagnosis；in the controk ......

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