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目的:研究子宫内膜癌术中冰冻病理的临床价值。方法:随机选择于2012年11月至2015年9月间我院收治的子宫内膜癌患者200例,回顾性分析其临床资料,观察术中石蜡病理、术中冰冻病理,在确诊组织分型、肿瘤级别以及肌层浸润深度的一致率,以此来评价子宫内膜癌手术中冰冻病理的临床价值。结果:在组织分型、肿瘤级别以及肌层浸润深度三个方面,术中石蜡病理、术中冰冻病理的分别为96%、82.5%、90%。结论:在子宫内膜癌组织分型、肿瘤级别以及肌层浸润深度各个方面,术中石蜡病理、术中冰冻病理的诊断一致率较高,通过术中冰冻病理,来决定患者是否行分期手术,具有重要的临床作用。
Objective: To study the clinical value of intraoperative frozen pathology of endometrial cancer. Methods: 200 cases of endometrial cancer were randomly selected in our hospital from November 2012 to September 2015. The clinical data were retrospectively analyzed. The pathological changes of paraffin, intraoperative frozen pathology, , Tumor grade and the depth of myometrial invasion consistent rate, in order to evaluate the clinical value of frozen pathology in endometrial cancer surgery. Results: There were 96%, 82.5% and 90% of paraffin pathology and intraoperative frozen pathology in histological classification, tumor grade and depth of myometrial invasion respectively. Conclusion: There is a high diagnostic consistency rate of intraoperative paraffin pathology and intraoperative frozen pathology in the classification of endometrial carcinoma, tumor grade and the depth of myometrial invasion. Through intraoperative frozen pathology, it is possible to determine if the patient is undergoing staged surgery , Has an important clinical role.