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对89例卵巢肿瘤的临床诊断及术中冰冻切片(FS)诊断与石蜡切片诊断进行对比研究。结果:石蜡切片诊断良性肿瘤33例,交界性肿瘤13例,恶性肿瘤43例。临床诊断与石蜡切片的符合率为74.2％,良性肿瘤为93.9％,交界性肿瘤为46.2％,恶性肿瘤为72.1％。FS诊断与石蜡切片的符合率为95.5％,良性肿瘤为100％,交界性肿瘤为92.3％,恶性肿瘤为93.0％。临床诊断错误23例。FS与石蜡切片相比,对恶性肿瘤的敏感性为96.4％(54/56),对良性肿瘤的敏感性为100％(33/33),对恶性肿瘤的预测值为100％(40/40),对交界瘤和良性肿瘤的预测值分别为85.7％(12/14)和94.3％(33/35)。
The clinical diagnosis of 89 cases of ovarian tumors and intraoperative frozen section (FS) diagnosis and paraffin sections were compared. Results: Paraffin sections were diagnosed as benign tumors in 33 cases, borderline tumors in 13 cases and malignant tumors in 43 cases. The coincidence rate between clinical diagnosis and paraffin section was 74.2%, benign tumor was 93.9%, borderline tumor was 46.2%, and malignant tumor was 72.1%. The coincidence rate of FS diagnosis and paraffin section was 95.5%, benign tumor was 100%, borderline tumor was 92.3%, and malignant tumor was 93.0%. 23 cases of clinical diagnosis error. FS showed a sensitivity of 96.4% (54/56) for malignant tumors, 100% (33/33) for benign tumors and 100% for malignant tumors compared with paraffin sections (40/40 ), Predictive values for borderline and benign tumors were 85.7% (12/14) and 94.3% (33/35), respectively.