800乳腺肿块冰冻切片病理诊断分析.docVIP

800例乳腺肿块冰冻切片病理诊断分析 　　[摘要] 目的 探讨乳腺肿块冰冻切片病理诊断效果。 方法 选取2012年1月～2014年12月我院收治的乳腺肿块患者800例，采用术中冰冻切片进行病理诊断，同时与石蜡切片的诊断结果进行对比分析。 结果 800例乳腺患者疾病冰冻切片当中，确诊787例，延期诊断8例，误诊5例，与石蜡切片诊断结果比较，差异无统计学意义（P0.05）。 结论 乳腺肿块诊断过程当中应用冰冻切片能够准确迅速确定患者的肿块性质，临床上需要改善取材准确性以及制片质量，同时难以确诊情况下要及时同手术医师沟通交流，从而提高冰冻切片病理诊断的效果。 中国论文网 /6/viewhtm　　[关键词] 乳腺肿块；冰冻切片；石蜡切片；确诊；误诊 　　[中图分类号] R446.8 [文献标识码] B [文章编号] 1673-9701（2015）26-0119-03 　　Pathological diagnosis analysis of 800 cases of breast mass frozen sections 　　NIE Yu LV Guoqing FU Lei 　　Department of Pathology， Changji Prefecture Peoples Hospital in Xinjiang Uygur Autonomous Region， Changji 831100， China 　　[Abstract] Objective To investigate the pathological diagnosis effect of breast mass frozen section. Results Eight hundred patients with breast mass treated in our hospital from January 2012 to December 2014 were selected. The intraoperative frozen section was used for pathological diagnosis and the results were compared to the diagnosis results of paraffin section. Results Of the 800 cases of frozen sections， 787 cases were diagnosed， 8 cases were postponed and 5 cases were misdiagnosed， which were not statistically different from the diagnosis results of paraffin section（P0.05）. Conclusion In the diagnosis process of breast mass， the application of frozen section can accurately and rapidly confirm the quality of mass， and meanwhile， the material sampling accuracy and section making quality should be improved clinically. Under conditions difficult to diagnose， timely communication with surgical doctors should be conducted in order to improve the pathological diagnosis effect of frozen section. 　　[Key words] Breast mass； Frozen section； Paraffin section； Definite diagnosis； Misdiagnosis 　　乳腺病变在妇科疾病当中占据较高的比例，乳腺肿块是常见的临床表现之一，用来诊断该疾病方法较多，例如超声波检查、钼钯摄片以及针吸细胞学检查等，实施根治手术需要经过病理组织学诊断确诊属于恶性病变[1]。冰冻切片病理诊断可以迅速确定乳腺肿块性质，从而为外科医师选择治疗方案以及手术范围提供可靠依据。我院在乳腺病变患者检查过程当中使用冰冻切片进行病理诊断，并同石蜡切片的诊断结果进行对比，现报道如下。 　　1 资料与方法 　　1.1 一般资料 　　选取2012年1月～2014年12月我院收治的乳腺肿块患者800例，年龄19～65岁，平均（41.3