首页|冰冻切片与石蜡切片对甲状腺疾病的病理诊断价值分析

冰冻切片与石蜡切片对甲状腺疾病的病理诊断价值分析

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目的 分析冰冻切片与石蜡切片对甲状腺疾病的病理诊断价值。方法 回顾性分析 2021 年 1 月至 2022 年 1月许昌医院收治的 70 例甲状腺疾病的临床资料,所有患者均接受常规石蜡切片检查和冰冻切片检查,以石蜡切片检查结果作为金标准,分析冰冻切片病理检查对甲状腺疾病良恶性的灵敏度、特异度,比较两种检查方式准确率、误诊率、延迟诊断率、诊断所需时间、对不同类型甲状腺疾病的检出率差异。结果 冰冻切片诊断甲状腺疾病良恶性的灵敏度[91。67%(22/24)],特异度[97。83%(45/46)],准确率[95。71%(67/70)],延迟诊断率[2。86%(2/70)]和石蜡切片诊断甲状腺疾病良恶性的准确率、误诊率、延迟诊断率比较,差异无统计学意义(P>0。05);冰冻切片检查所需时间短于石蜡切片,差异有统计学意义(P<0。05);冰冻切片和石蜡切片对不同类型甲状腺疾病的检出率比较,差异无统计学意义(P>0。05)。结论 冰冻切片具备与石蜡切片相似的诊断效能,并且诊断所需时间短,方便快捷,具备良好的病理诊断价值。
Analysis of the Pathological Diagnostic Value of Frozen Sections and Paraffin Sections for Thyroid Diseases
Objective To analyze the pathological diagnostic value of frozen sections and paraffin sections for thyroid diseases.Methods A retrospective analysis was conducted on the clinical data of 70 cases of thyroid diseases treated at Xuchang Hospital from January 2021 to January 2022.All patients underwent routine paraffin section examination and frozen section examination.The results of the paraffin section examination were used as the gold standard to analyze the sensitivity and specificity of frozen section pathological examination for benign and malignant thyroid diseases.The accuracy,misdiagnosis rate,delayed diagnosis rate,time required for diagnosis,and detection rate of different types of thyroid diseases were compared between the two examination methods.Results The sensitivity[91.67%(22/24)],specificity[97.83%(45/46)],accuracy[95.71%(67/70)],and delayed diagnosis rate[2.86%(2/70)]of frozen section diagnosis for benign and malignant thyroid diseases showed no statistically significant difference compared to the accuracy,misdiagnosis rate,and delayed diagnosis rate of paraffin section diagnosis(P>0.05).The time required for frozen section examination was shorter than that for paraffin section,with a statistically significant difference(P<0.05).There was no statistically significant difference in the detection rate of different types of thyroid diseases between frozen sections and paraffin sections(P>0.05).Conclusion Frozen sections have similar diagnostic efficacy to paraffin sections,with the advantage of shorter diagnostic time,making them convenient and efficient with good pathological diagnostic value.

frozen sectionsparaffin sectionsthyroid diseasespathological diagnosis

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许昌医院 病理科,河南 许昌 461000

冰冻切片 石蜡切片 甲状腺疾病 病理诊断

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(9)