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本文结合64例颅内疾患涂抹标本病理诊断结果,对于涂抹法用于颅内疾患病理诊断的方法、可行性、必要性、标本制作中的问题、影响正确诊断的因素、误诊原因等进行了探讨。采用曙红-甲美蓝双重染色效果较佳。与石蜡切片相比两者诊断符合率为92%。涂抹时组织质度及手感对诊断有指导意义。研究表明:绝大多数颅内肿瘤可应用涂抹标本进行诊断。多部位取样及结合完整的临床资料可提高诊断的正确率。
In this paper, 64 cases of intracranial disease smear specimen pathological diagnosis results for the application of smear method for the diagnosis of intracranial disease pathology, feasibility, necessity, problems in specimen production, the factors that affect the correct diagnosis, misdiagnosis causes were discussed . The use of eosin - methylene blue double staining better. Compared with paraffin sections, the diagnostic accuracy of both was 92%. Tissue texture and feel when applied to the diagnosis of a guiding significance. Studies have shown that the vast majority of intracranial tumors smear specimens can be applied for diagnosis. Multi-site sampling and combined with complete clinical data can improve the diagnostic accuracy.