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目的:分析影响乳腺癌术中冰冻诊断准确性的病理与临床因素。方法:选取我院2009年12月~2011年12月间收治的60名乳腺癌患者作为研究对象,采用回顾性的方式分析其临床资料,计算诊冰冻诊断准确性,分析影响准确率的临床病理因素。结果:按照术后乳腺病理的标准,本组研究中有46例符合术中冰冻的组织级别,总体符合率为76.67%(46/60)。其中I乳腺癌符合率为69.75%,Ⅱ级乳腺癌符合率为74.98%,Ⅲ级乳腺癌符合率为84.96%;有50例肿物组织学大小整体符合标准,占总数的83.33%。结论:乳腺癌术中冰冻诊断具有一定的准确性,其影响因素主要是肿物组织学大小和肿瘤级别。
Objective: To analyze the pathological and clinical factors influencing the diagnostic accuracy of intraoperative frozen diagnosis of breast cancer. Methods: Sixty patients with breast cancer who were treated in our hospital from December 2009 to December 2011 were selected as the research object. The clinical data were analyzed retrospectively. The diagnostic accuracy of the diagnosis was calculated. The clinicopathological factors affecting the accuracy were analyzed. factor. Results: According to the criteria of postoperative breast pathology, 46 cases in this study were in accordance with the intraoperative frozen tissue grade, the overall compliance rate was 76.67% (46/60). The coincidence rate of I breast cancer was 69.75%, the coincidence rate of grade Ⅱ breast cancer was 74.98%, and the coincidence rate of grade Ⅲ breast cancer was 84.96%. The histological size of 50 tumors was in line with the standard, accounting for 83.33% of the total. Conclusion: The diagnosis of frozen intraoperative breast cancer has a certain accuracy, the main influencing factors are tumor size and tumor grade.