首页|穿刺活检与术后石蜡切片病理检查对鉴别诊断卵巢肿瘤的准确性对比

穿刺活检与术后石蜡切片病理检查对鉴别诊断卵巢肿瘤的准确性对比

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目的 分析穿刺活检与术后石蜡切片病理检查对鉴别诊断卵巢肿瘤的准确性。方法 选取南阳医学高等专科学校第一附属医院 2020 年 2 月至 2022 年 5 月收治的 60 例卵巢肿瘤患者,对患者实施穿刺活检,并在手术后取病变组织标本进行石蜡切片病理检查,对比两种方式的检查结果。结果 本次共收集卵巢肿瘤组织 60 份,术后病理检查结果显示有 50 例恶性肿瘤,10 例良性肿瘤;穿刺活检结果显示有 48 例恶性肿瘤,12 例良性肿瘤,穿刺活检对鉴别诊断卵巢肿瘤的准确率为 93。33%,Kappa=0。94,差异有统计学意义(P<0。001),穿刺活检所花费的时间明显短于石蜡切片检查时间,差异有统计学意义(P<0。001)。结论 穿刺活检与术后石蜡切片病理检查对鉴别诊断卵巢肿瘤具有很高的准确性,且穿刺活检具有操作简单、检测速度快的特点。
Comparison of the Accuracy of Puncture Biopsy and Postoperative Pathologic Examination of Paraffin Sections for the Differential Diagnosis of Ovarian Tumors
Objective To analyze the accuracy of puncture biopsy and postoperative paraffin section pathology examination in the differential diagnosis of ovarian tumors.Methods A total of 60 patients with ovarian tumors admitted to Nanyang Medical College First Affiliated Hospital between February 2020 and May 2022 were selected for inclusion in this study.Following surgical intervention,puncture biopsy was performed on each patient,and the lesion tissue specimens were taken for paraffin section pathology examination.The results of the two modalities were then compared.Results A total of 60 ovarian tumor tissues were collected for pathological examination.The results of the postoperative examination revealed that 50 cases were malignant and 10 cases were benign.The results of the puncture biopsy indicated that 48 cases were malignant and 12 cases were benign.The accuracy rate of the puncture biopsy in the differential diagnosis of ovarian tumors was 93.33%.The results demonstrated a Kappa value of 0.94,indicating a statistically significant difference(P<0.001).Additionally,the puncture biopsy procedure was found to be significantly more time-efficient than the paraffin section examination,with a statistically significant difference(P<0.001).Conclusion Puncture biopsy and postoperative paraffin section pathology have been demonstrated to be highly accurate in the differential diagnosis of ovarian tumors.Furthermore,puncture biopsy is a relatively simple operation with rapid detection capabilities.

puncture biopsypathological examination of paraffin sectiondifferential diagnosisovarian tumoraccuracy

谷心语、张海燕

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南阳医学高等专科学校第一附属医院 病理科,河南 南阳 473007

穿刺活检 石蜡切片病理检查 鉴别诊断 卵巢肿瘤 准确性

2024

临床研究
西安交通大学

临床研究

影响因子:0.234
ISSN:2096-1278
年,卷(期):2024.32(6)
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