腔镜及Leep刀术式妇科标本的病理检查与诊断探讨

Pathological analysis of gynecologcal specimens by the cavity mirror and the Leep sabreplay type

目的:探讨利用腔镜及Leep刀术式切除妇科标本的病理检查及诊断。方法:通过常规病理检查方法对172例腔镜及LeeP刀切除的标本进行病理学分折。结果:腔镜旋切及LeeP刀标本与传统的完整器官或病灶切除标本完全不同,标本呈多块破碎的条索状或圆柱状或多棱状,大小不等,解剖结构和病灶破坏;同时组织的烧灼、水肿等亦给病变的观察带来一定的影响或困难。检查结果:172例中病理明确诊断者137例(79.65%);病理形态改变结合临床资料诊断者19例(11.05%);病理与术前临床诊断不一致者16例(9.30%)。结论:腔镜及Leep刀术式切除标本特殊,病理学检查量大费时,需认真对待。为避免漏诊或误诊危险,正确作出病理诊断,根据本组标本观察提示:①破碎组织的病理检查诊断,务必熟悉临床资料及术前诊断;②标本应进行全面检查,仔细辩认生理标志,认真寻找病灶;③临床与病理的紧密结合有利于提高病理诊断的准确性;④建议病理诊断时注明破碎标本字样。

Objective：To investigate pathological changes of gynecological specimens by cavity mirror and Leep sabreplay type. Methods：Total of 172 specimens cavity mirror and the Leep knife were carried on the conventional pathological inspection. Results：The specimens were different cavity mirror and the Leep knife from the traditional complete organ, they showed many stave strip funicular either the circle columnar or the leng shapes, the size different,and the dissection structure destroy, organizes cauterization. Pathological diagnosis was clear in 137 examples （79.65 % ） of 172 specimens, pathology combined clinical data was in 19 examples （11.05% ）. Pathology before the clinical diagnosis was not consistency in 16 examples （9.30%）. Conclusion：The specimens of cavity mirror and the Leep sabreplay type are special, to avoid mis diagnosis,it is important to be familiar with clinical data;The specimen must be examined carefully;We suggest in the pathological diagnosis to indicate the stave specimen.