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目的 通过分析甲状腺外科手术患者的临床诊断与病理及超微病理检查结果 ,了解甲状腺疾病的电镜诊断价值。方法 回顾 2年中甲状腺肿物手术切除术患者 80例 ,常规病理学检查 ,以及电镜诊断的结果。根据滤泡上皮超微结构判断肿物病理性质。结果 临床诊断与病理诊断符合率低。光、电镜的病理诊断相符者 78例 ;不相符者 2例 ,光镜诊为甲状腺腺瘤 ,电镜诊为甲状腺癌。结论 甲状腺疾病的电镜检查 ,可了解滤泡上皮在不同疾病时的病变 ,修正病理学诊断的错误。对于疾病的确诊具有重要的价值
Objective To analyze the clinical diagnosis, pathology, and ultra-microscopic pathological findings of patients undergoing thyroid surgery to understand the diagnostic value of thyroid diseases. Methods Review of 80 patients undergoing thyroidectomy in 2 years, routine pathological examination, and electron microscopy diagnosis. According to the ultrastructure of follicular epithelium, the pathological properties of the tumor were judged. Results The coincidence rate between clinical diagnosis and pathological diagnosis was low. The pathological diagnosis of light and electron microscopy was consistent with 78 cases; inconsistent with 2 cases, thyroid adenoma was diagnosed with light microscopy and thyroid cancer was diagnosed with electron microscopy. Conclusion Electron microscopy of thyroid disease can be used to understand the lesions of follicular epithelium in different diseases and correct pathological diagnosis errors. Definite diagnosis of the disease is of great value