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对143例涎腺肿块患者,运用细针穿刺吸取细胞的方法进行细胞学检查。结果:143例涎腺肿块细胞学检查结果中113例与术后病理学检查结果相符,准确率为79.02%,误诊率为20.98%。诊断为良性肿瘤128例,其中103例与术后病理诊断相符;准确率为80.47%;恶性肿瘤3例,均与病理诊断相符,非肿瘤性疾病12例,其中7例与病理诊断相符,准确率为58.33%。本文分析了细针穿刺吸取细胞作细胞学检查诊断涎腺肿块误诊的原因。该方法简便,结果较可靠,对制定正确的治疗方案有一定帮助。
For 143 patients with parotid masses, cytology was performed by fine needle aspiration of cells. RESULTS: Among the 143 cases of parotid masses, 113 cases were consistent with postoperative pathological examinations. The accuracy rate was 79.02%. The misdiagnosis rate was 20.98%. There were 128 cases diagnosed as benign tumors, of which 103 cases were consistent with postoperative pathological diagnosis; the accuracy rate was 80.47%; 3 cases of malignant tumors were all consistent with pathological diagnosis, and 12 cases were non-tumorous diseases, of which 7 cases were consistent with pathological diagnosis. The accuracy rate is 58.33%. This paper analyzes the reasons for the misdiagnosis of parotid masses by fine needle aspiration and the use of cells for cytological examination. The method is simple, the result is more reliable, and it can help to formulate the correct treatment plan.