探讨术中冰冻病理在甲状腺微小乳头状癌中应用.docVIP

探讨术中冰冻病理在甲状腺微小乳头状癌中应用 　　[摘要] 目的 对术中冰冻病理在甲状腺微小乳头状癌疾病诊断中的临床运用情况进行观察与分析。 方法 方便选取2014年3月―2015年3月该院所收治的60例甲状腺微小乳头状癌作为观察对象，对其采取常规石蜡切片（石蜡组）与冰冻切片（冰冻组）检查，对两组的诊断结果进行观察与比较，且对冰冻切片病理诊断的结果加以分析。结果 石蜡组60例确诊（100%），未发现误诊、漏诊以及延迟诊断；冰冻组45例确诊（75.0%），5例误诊（8.3%），4例漏诊（6.7%），6例延迟诊断（10.0%）。组间确诊率相对比，差异有统计学意义（P0.05）。结论 术中冰冻病理在甲状腺微小乳头状癌诊断中，起到了关键性的作用，但因该诊断方法存在一定的误诊率与漏诊率，因而，在检查时需做好各项检查工作，且对图像特点进行仔细辨别。 　　[关键字] 甲状腺微小乳头状癌；术中冰冻；石蜡切片 　　[中图分类号] R4 [文献标识码] A [文章编号] 1674-0742（2016）03（c）-0025-03 　　Application of Intraoperative Frozen Pathology in Papillary Thyroid Microcarcinoma 　　LIU Sen 　　Rizhao Port Hospital， Rizhao， Shandong Province， 276800 China 　　[Abstract] Objective To observe and analyze the clinical application of intraoperative frozen pathology in the diagnosis of papillary thyroid microcarcinoma. Methods 60 cases with papillary thyroid microcarcinoma admitted in our hospital from March 2014 to March 2015 were selected as the subjects. The conventional paraffin section （paraffin group） detection and frozen section（frozen group） detection were performed in the patients. The diagnosis results of two groups were observed and compared. And the results of pathological diagnosis of frozen section were analyzed. Results In the paraffin group， 60 cases （100%） were confirmedly diagnosed without misdiagnosis， missed diagnosis and delayed diagnosis. In the frozen group， 45 cases （75.0%） were confirmedly diagnosed， 5 cases （8.3%） were misdiagnosed， 4 cases （6.7%） were diagnosed missedly and 6 cases（10.0%） were diagnosed delayedly. The difference in the confirmedly diagnosed rate between the two groups was statistically significant （P0.05）. Conclusion Intraoperative frozen pathology plays a key role in the diagnosis of papillary thyroid microcarcinoma， but it has a certain rate of misdiagnosis and missed diagnosis. Therefore， various works need to be done well during the inspection， and the characteristics of the image should be distinguished carefully. 　　[Key words] Papillary thyroid microcarcinoma