冰冻切片与细的胞印片联合应用在临床病理术中诊断的价值.pdf

冰冻切片与细胞印片联合应用 在临床病理术中诊断的价值 Diagnosis Value of Freezing M icrotome Combining、 th Cell hnprinting in Intraoperative Clinicopathologic Surgery 李淑莲。李丽娟 ，代海平 [摘 要】目的 评价冰冻切片与细胞印片联合应用在I 床病理术中诊断的价值。方法~f73例乳腺肿 牡丹江医学院附属红旗 医院 病理 物和138例甲状腺肿物术中冰冻切片及印片细胞学诊断和术后石蜡诊断对比分析。结果 73例乳腺 科 ，黑龙江 年十丹江 157011 肿物，术中冰冻确诊70例 ，确诊率95．91％，印片细胞学确诊69例，确诊率94．52％，二者联合确诊 71例，确诊率97．26％；138例甲状腺肿物术中冰冻切片，确诊l31例．确诊率94．92％，印片细胞学 确诊132例，确诊率95．65％，二首联合确诊134例，确诊率97．1％。结论 将细胞印片，6乏冰冻切片联 合应用于临床病理术中诊断，u 以相互弥补，减少误诊，提高快速诊断的准确性。 [关键词】冰冻切片机；冰冻切片；细胞印片；病理诊断；乳腺肿瘤 ；细胞学 LI Shu—lian，LI Li—juan，DAI Hal- ping Pathology Department，Hongqi Hospital， Mudanjiang Medical Colege，Mudanjiang Heilongjiang 15701 1，China Abstract：Objective To investigate the value offroTen section combination with imprint cytology in intraoperative clinic。path0l。gic diagnosis．Methods 73 cases with breast masses and 1 38 eases thyroid neoplasms were detected by both frozen section and imprint cytology during operation．and the msuhs wer compared with the postoperation parafin sections diagnosis．Results 70 cases with breast masses were diagnosed correctly with frozen section(70／73，95．91％)，69 were diagnosed correctly with imprint cytology(69／73，94．52％)，and 71 ca s werediagnosed corectlyby combinationofimprint cytologyandfrozen section(71／73．97．26 ．131 c with thyroid neoplasms were diagnosed correctly with frozen section(131／138，94．92％)，13；2 were diagne~ corectly with imprint cytology (132／138，95．65％)，and 134 causes were diagnosed correctly by combination of imprint cytology and frozen section(134／138，97．1％)．Conclusion Combination ofimprint一~ytology and frozen section detection during operation could increase the accuracy of rapid imtraoperative( l 叩athnl0西c diagnosis． Key words：freezing microtome；freezing slice up；cell imprinting；pathologica1 diagnosis；galactophore tumor；cytology [中图分类号]R737．9；R446．8 【文献标志码j B doi：10．3969／j．issn．1674—1633．2010．12．033 [文章编号】1674—1633(2010)12—0081—02 近几年环保型立式恒冷箱式冰冻切片机以其优越的性 能，精密的厚度取代了以往的二氧化碳冰冻法和半导体制 冷冰冻切片法 ⋯。我科在 7年多使