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评价腮腺肿块手术中冷冻切片诊断的临床意义。回顾分析我科284例腮腺肿块术前临床诊断和术中冷冻切片诊断与术后石蜡切片诊断的符合情况,其中良性病变术前临床诊断正确率为55.9%,术中冷冻切片诊断正确率为94.5%;恶性病变术前诊断正确率为6.6%。术中冷冻切片诊断正确率为73.3%。术中冷冻切片诊断正确率明显高手术前临床诊断,有助于临床医师术中及时了解肿块的病理性质。本文分析讨论术中冷冻切片错误诊断、延迟诊断的原因,强调临床医师与病理医师合作的重要性。
Evaluation of the clinical significance of frozen section diagnosis in parotidectomy. Retrospective analysis of our department 284 cases of parotid gland tumor before surgery and frozen section diagnosis and postoperative paraffin section diagnosis of compliance, including benign lesions preoperative clinical diagnosis accuracy was 55.9%, intraoperative frozen section diagnosis was 94.5 %; Preoperative diagnosis of malignant lesions the correct rate was 6.6%. Intraoperative frozen section diagnosis accuracy was 73.3%. Intraoperative frozen section was significantly higher diagnostic accuracy of preoperative clinical diagnosis, help clinicians understand the pathological nature of the mass in time. This article analyzes and discusses the intraoperative frozen section error diagnosis, delayed diagnosis, and emphasizes the importance of cooperation between clinicians and pathologists.