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目的探究卵巢肿瘤术中冰冻切片病理诊断价值。方法 41例卵巢肿瘤患者均采取手术方式进行治疗,在术中切取部分标本,采用冰冻切片的方法进行病理检查,术后将剩余的标本通过石蜡包埋切片的方法进行病理检查,比较术中和术后的诊断结果。结果 41例卵巢肿瘤患者中,术后石蜡切片病理检查结果 :有恶性肿瘤9例(22.0%),交界性肿瘤12例(29.3%),良性肿瘤20例(48.8%);术中冰冻切片病理检查结果 :有恶性肿瘤8例(19.5%),交界性肿瘤12例(29.3%),良性肿瘤21例(51.2%)。与术后石蜡切片诊断结果为金标准,术中冰冻切片共37例诊断结果相符,结果准确率为90.2%,其中恶性肿瘤有7例相符,1例误诊,诊断准确率为77.8%;交界性肿瘤有11例相符,1例误诊,诊断准确率为91.7%;良性肿瘤有19例相符,2例误诊,诊断准确率为95.0%。结论卵巢肿瘤术中冰冻切片病理检查具有较高的准确率,可以比较准确的判断肿瘤的范围和性质,为肿瘤的切除范围以及手术术式的选取提供较为有效的参考依据。
Objective To investigate the value of frozen section pathological diagnosis of ovarian tumors. Methods Forty-one patients with ovarian tumors were treated by surgery. Some of them were excised during operation and frozen sections were used for pathological examination. The remaining specimens were paraffin-embedded for pathological examination after operation. Postoperative diagnosis. Results The pathological results of paraffin sections in 41 cases of ovarian tumors showed that there were 9 cases (22.0%) of malignant tumors, 12 cases of borderline tumors (29.3%) and 20 benign tumors (48.8%). The frozen section pathology Results: There were 8 cases of malignant tumors (19.5%), 12 cases of borderline tumors (29.3%) and 21 cases of benign tumors (51.2%). And paraffin sections after the diagnosis of the gold standard, a total of 37 cases of intraoperative frozen section diagnostic results, the accuracy rate of 90.2%, of which 7 cases of malignant tumors line, 1 case of misdiagnosis, diagnostic accuracy was 77.8%; borderline There were 11 cases of cancer, one case was misdiagnosed, the diagnostic accuracy was 91.7%. There were 19 cases of benign tumors and 2 cases of misdiagnosis. The diagnostic accuracy was 95.0%. Conclusions The intraoperative frozen section biopsy of ovarian tumors has a high accuracy, which can accurately determine the scope and nature of the tumor, and provide a more effective reference for the resection scope and surgical operation of tumors.