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目的探讨术中细针吸取细胞学(FNAC)检查对胰头癌诊断的价值。方法回顾分析37例胰头癌术中FNAC检查的细胞病理学及术后组织病理学资料并进行对比研究,探讨其形态特点、诊断正确率及并发症。结果胰头癌术中FNAC检查阳性率为83.80%,其中对中~低分化腺癌的确诊率最高,镜下细胞病理学特点明确,诊断容易;分化良好的腺癌则诊断相对困难,细胞形态与良性病变较难鉴别。结论术中FNAC检查可作为胰头癌术中冰冻切片检查外的有效替补手段,在无冰冻条件或冰冻切片检查禁忌时对中~低分化腺癌诊断率高,术中FNAC检查并发症少,安全、方便,值得推广。
Objective To investigate the value of intraoperative fine needle aspiration cytology (FNAC) in the diagnosis of pancreatic head cancer. Methods The cytopathology and postoperative histopathological data of 37 patients with pancreatic head cancer were retrospectively analyzed and compared. The morphological characteristics, diagnostic accuracy and complications were analyzed. Results The positive rate of intraoperative FNAC was 83.80% in pancreatic cancer, of which the highest was confirmed in moderate-poorly differentiated adenocarcinoma, the clear cytopathological features were clear and the diagnosis was easy. The well-differentiated adenocarcinoma was relatively difficult to diagnose and the cell morphology And benign lesions more difficult to identify. Conclusion Intraoperative FNAC examination can be used as an effective substitute for intraoperative frozen section examination of pancreatic head cancer. The diagnosis of moderate-poorly differentiated adenocarcinoma is highly effective when there is no frozen condition or frozen section test. The intraoperative FNAC examination has fewer complications, Safe, convenient and worth promoting.