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对我室1992年11月~1994年10月间冰冻切片诊断工作进行回顾性分析。2年间,冰冻切片共368例,占此期住院手术送检病例的8.7%。其中,354例用于确定病变性质,占96.2%,12例用于确定组织中是否存在转移,占3.3%;2例用于鉴别组织类别,占0.5%。乳腺和卵巢是冰冻切片最常见的组织。冰冻切片与石蜡切片诊断一致者358例,总符合率为97.3%。诊断不一致的10例中,过度诊断3例,诊断不确定2例,诊断不足5例。结果表明,冰冻切片不失为术中快速诊断的一种较为可靠、准确的方法。此外,对冰冻切片的应用和准确性的有关问题进行了讨论。作者赞同冰冻切片宜用于对病理过程作出一个笼统的而不是一个精确诊断的观点。
A retrospective analysis was performed on the diagnosis of frozen section between November 1992 and October 1994 in our hospital. In 2 years, 368 frozen sections were taken, accounting for 8.7% of the cases of inpatient surgeries in this period. Among them, 354 cases were used to determine the nature of the lesions, accounting for 96.2%, 12 cases were used to determine whether there is metastasis in the tissue, accounting for 3.3%; 2 cases were used to identify the tissue category, accounting for 0.5%. Breast and ovary are the most common tissues of frozen sections. Frozen sections and paraffin sections were diagnosed in 358 cases, the total coincidence rate was 97.3%. Among the 10 cases with inconsistent diagnosis, 3 cases were diagnosed as undue, 2 cases were diagnosed as uncertain, and 5 cases were diagnosed. The results show that the frozen section after surgery is a quick and reliable diagnosis of a more reliable and accurate method. In addition, the application of frozen sections and the accuracy of the issues discussed. The authors agree that frozen sectioning should be used to make a general rather than a precise diagnosis of the pathological process.