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目的:探讨快速冰冻切片对临床可疑宫外孕患者的诊刮标本中是否带有胚胎产物检查的准确性,以协助异位妊娠的诊治。方法:对可疑子宫内膜诊刮标本的冰冻切片、石蜡切片及临床资料进行回顾性分析,若最后石蜡切片病理诊断与冰冻切片一致,则认为冰冻切片正确。结果:其中85例(85/91,93.4%)快速冰冻切片诊断是正确的,冰冻切片的敏感性为79.2%,特异性为98.5%,其阳性、阴性预测值分别为95%、93%。结论:快速冰冻切片在判断临床怀疑宫外孕患者的子宫内膜诊刮标本确定有无胚胎产物方面有很好的准确性,是一项很有临床实用价值的方法。
OBJECTIVE: To investigate the accuracy of rapid frozen section in the diagnosis of ectopic pregnancy in patients with clinically suspected ectopic pregnancy. Methods: Frozen sections, paraffin sections and clinical data of clinically diagnosed endometrial lesions were retrospectively analyzed. If the final pathological diagnosis of paraffin sections was consistent with that of frozen sections, the frozen section was considered as correct. Results: 85 cases (85/91, 93.4%) of frozen sections were correctly diagnosed. The frozen sections showed a sensitivity of 79.2% and a specificity of 98.5%. The positive and negative predictive values were 95%, 93%. Conclusion: The rapid frozen section is a very valuable clinical method for judging the presence or absence of embryo products in clinically suspected cases of ectopic pregnancy.