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冷冻快速固定液与常规固定液HE染色效果的比较

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目的 比较冷冻快速固定液与常规固定液苏木素-伊红(HE)染色的效果.方法 选择20例术中冷冻快速标本,将组织切成厚度4μm薄片并粘附于2张粘附载玻片上,电热吹风机吹15 s,之后立即分别用95%酒精、快速固定液(乙醇型)以相同的步骤及相同的时间进行组织固定和HE染色,之后以中性树胶封片备用.术中冷冻快速结束后将剩余组织融化,同时加足量10% 中性缓冲福尔马林(NBF),准备后续的常规取材、制片及HE染色.将常规切片与术中冷冻快速制片进行HE染色对比.结果 从整体看,95%酒精使得组织的苏木素染色偏浅,伊红染色偏深,整体染色偏红.个别组织细胞间隙变大.快速固定液的染色苏木素、伊红对比度较好,能清晰呈现细胞核结构.NBF能较好的固定组织,常规HE染色良好.但从单个组织看:①乳腺前哨淋巴结:冷冻快速中,快速固定液的染色效果优于95%酒精,细胞核结构较后者更清晰,细胞间无皱缩,HE染色颜色更加鲜艳,更方便诊断医师阅片;②甲状腺:与快速固定液相比,95%酒精的染色效果不算理想,苏木素染色偏浅,伊红染色偏深,整体染色偏暗,存在组织收缩的现象,NBF的染色浓墨重彩、颜色对比度高,腺体结构清晰;③胆囊:95%酒精及快速固定液固定后,细胞核及腺体结构清晰,苏木素及伊红染色对比度良好,而NBF固定后,胆囊常规HE染色效果不及冷冻快速;④子宫肌瘤:95%酒精的苏木素染色偏浅,伊红染色偏深;快速固定液的苏木素染色较95% 酒精深,医师观察阅片更轻松;NBF的染色效果佳.结论 快速固定液染色效果优于95%酒精,更适合冷冻快速中组织的固定,而NBF是固定常规病理标本的首选.
Comparison of the HE staining effect of frozen rapid fixative and conventional fixative
Objective To compare the hematoxylin-eosin (HE) staining effect of frozen rapid fixative and conventional fixative. Methods Selected 20 intraoperative frozen rapid specimens,cut the tissue into 4 μm thickness and adhere to 2 adhesive slides,blew the electric blower for 15 s,immediately conducted tissue fixation and HE staining with 95% alcohol and rapid fixative (ethanol) in the same steps and the same time,and then sealed with neutral gum. After the rapid end of intraoperative freezing,the remaining tissue was melted,and a sufficient amount of 10% neutral buffered formalin (NBF) was added for subsequent routine sampling,production and HE staining. Routine sections were compared with intraoperative frozen rapid production for HE staining. Results Overall,95% alcohol made the tissue hematoxylin staining shallow,eosin staining deep,and the overall staining was red. Intercellular spaces became larger in individual tissues. The contrast of hematoxylin and eosin in the frozen rapid fixative were better,and could clearly present the nucleus structure. NBF allowed better fixed tissue and good conventional HE staining. But from a single tissue:(ⅰ) Breast sentinel lymph node:in rapid frozen,the staining effect of rapid fixative was better than 95% alcohol,the nucleus structure was clearer than the latter,no wrinkle between cells,and the color of HE staining is more vivid,which was more convenient for diagnostic physicians to read the film. (ⅱ) Thyroid:compared with the rapid fixative,the staining effect of 95% alcohol was not ideal,and the hematoxylin staining was shallow,the eosin staining was deep,and the overall staining was dark. There was a phenomenon of tissue contraction. The staining effect of NBF was thick and heavy,with high color contrast and clear gland structure. (ⅲ) Gallbladder:after fixation with 95% alcohol and rapid fixative,the nucleus and gland structure were clear,the contrast of hematoxylin and eosin staining was good,while after fixation with NBF,the conventional HE staining effect of gallbladder was not as fast as that of freezing. (ⅳ) Uterine fibroids:the hematoxylin staining of 95% alcohol was shallow,and eosin staining was deep. The hematoxylin staining of the rapid fixative was deeper than 95% alcohol,making it easier for doctors to observe the slices. NBF stained well.Conclusion The staining effect of rapid fixative is better than 95% alcohol and is better for tissue fixation. While NBF is preferred for fixation of conventional pathology specimens.

Hematoxylin-eosin staining95% alcoholRapid fixative10% neutral buffered formalin

陈洁、吉洪亮、秦攀、章诗伟

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430000 湖北省中西医结合医院病理科

苏木素-伊红染色 95%酒精 快速固定液 10%中性缓冲福尔马林

2024

中国实用医药
中国康复医学会

中国实用医药

影响因子:0.797
ISSN:1673-7555
年,卷(期):2024.19(23)