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提高外科术前确诊率的意见(附244例术前冰冻切片诊断回顾性分析)

The Views on Improving Diagnosis Rate before Operation: A Retrospective Analysis of 244 Cases Frozen-sections

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【作者】 肖启煊; 陆献瑜; 赵美卿; 吴秋良; 刘玉群;

【Author】 Xiao Qixuan Lu Xianyu Zhao Meiqing Wu Qiuliag Lui Yuqun (Department of pathology, Affiliated Tumor Hospital)

【机构】 中山医科大学附属肿瘤医院病理科; 中山医科大学附属肿瘤医院病理科;

【摘要】 本文回顾性分析我院一年半来244例冰冻切片与石蜡切片的对照结果。其中假阴性6例2.9%);假阳性1例(0.4%);组织类型错误4例(1.6%);无结论2例(0.8%)。正确诊断率为97.1%。不同解剖部位的误诊率不同,乳腺组织误诊率最低,下消化道及淋巴结的误诊率最高,造成误诊的原因与取材、制片技术、病理医师的水平有关。文中提出提高冰冻切片诊断准确率的意见。

【Abstract】 The diagnosis of 244 cases frozen-sections from our hospital were compared with those of paraffin-section retrospectively. The correspondent rate is 97.1% whereas the uncorespondent rate is 2.9% (6 cases of false negative and 1 case of false positive). The wrong tissue pattern is1i.6%(4 cases), unconclusion is 0.8%(2 cases). The wrong diagnosis rate differs with the anatomical location. The highest is those in lower digestive tract and lymphatic nodes. The least is breasts. The reasons for wrong diagnosis are relation to the sampling, the quality of frezen-section and the experience of pathologists. Some suggestion for a good diagnosis is presented in the paper.

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