摘要
目的了解甲状腺微小癌术中的病理诊断方法以及不同方法的准确性和临床意义.方法选取宜兴市人民医院2016年11月至2017年12月收治的甲状腺微小乳头状癌患者89例为研究对象,均采用快速冰冻切片病理诊断及常规石蜡切片病理诊断并进行分析调查,比较冰冻切片快速诊断及石蜡切片常规诊断的确诊率、灵敏度、特异度和准确率.结果单侧左侧甲状腺癌变32例,单侧右侧甲状腺癌变29例,双侧甲状腺癌变28例,快速冰冻切片病理诊断的准确率为92.1%,而石蜡切片病理诊断准确率为100.0%,快速冰冻切片诊断的灵敏度为94.4%,特异度为97.8%.结论快速冰冻切片病理诊断具有较高的诊断灵敏度、特异度和准确率,但准确率仍低于石蜡切片病理诊断.
Objective To understand the pathological diagnosis methods of thyroid microcarcinoma and the accuracy and clinical significance of different methods.Methods Totally 89 patients with thyroid micropapillary carcinoma who underwent surgery from November 2016 to December 2017 in our hospital were selected for rapid frozen section pathological diagnosis and routine paraffin section pathological diagnosis.Rapid diagnosis and diagnosis,sensitivity,specificity and accuracy of routine diagnosis of paraffin sections were compared.Results Thirty-two cases of unilateral left thyroid cancer,29 cases of unilateral right thyroid cancer,28 cases of bilateral thyroid cancer,the accuracy of pathological diagnosis of rapid frozen section was 92.1%,and the pathological diagnosis accuracy of paraffin section was 100.0%.,rapid freezing The sensitivity of the slice diagnosis of rapid freezing was 94.4%and the specificity was 97.8%.Conclusion Pathological diagnosis of rapid frozen section has higher diagnostic sensitivity,specificity and accuracy,but the accuracy is still lower than that of paraffin section.
作者
薛姣
宗丽君
XUE Jiao;ZONG Lijun(Yixing People's Hospital,Wuxi,Jiangsu 214200,China)
出处
《大医生》
2019年第20期83-84,共2页
Doctor
关键词
甲状腺微小癌
病理诊断
临床意义
thyroid microcarcinoma
pathological diagnosis
clinical significance
