CT联合术中快速冰冻检查对唾液腺肿瘤病变的诊断价值分析

Significance of CT Combined with Frozen Section Examination on Diagnosis of Salivary Gland Tumor

目的：探讨术前CT检查、术中快速冰冻检查以及二者联合对唾液腺肿瘤病变的诊断价值。方法：收集整理2012年4月~2015年12月就诊于新疆医科大学第一附属医院颌面外科的唾液腺肿瘤病变患者197例。所有患者均需在我院同时行术前CT、术中快速冰冻检查,比较这些检查诊断与最终常规病理检查诊断的符合度情况。根据以上比较结果评价CT、术中快速冰冻检查以及二者联合应用在唾液腺肿瘤诊断中的价值。结果：CT、术中快速冰冻检查在唾液腺肿瘤诊断上有差异（P〈0.05）。CT诊断符合率64.0%（126/197）;术中快速冰冻检查诊断符合率82.7%（163/197）。而二者联合应用诊断符合率显著高于单一检查,二者联合检查诊断符合率94.4%（186/197）,结果同样具有统计学意义（P〈0.05）。结论：CT、术中快速冰冻检查在唾液腺肿瘤诊断中各具优势,且二者联合应用在唾液腺肿瘤诊断中具有各高的价值,为我们临床诊断,治疗提供更多帮助。

Objective：To compare the significances of preoperative CT,frozen sectionexamination and combination of both methods on the diagnosis ofsalivary gland tumor.Methods：One hundred and ninety-seven cases with salivary gland tumor lesions were collected from April 2012 to December 2015 in the Department of Oral and Maxillofacial Surgery,the First Affiliated Hospital of Xinjiang Medical University.All patients performed preoperative CT examination and frozen sectionexamination.Results：ThedifferencesofCT and frozen section examination in the diagnosis of salivary gland tumors were significant（P0.05）.The coincidence rate with histopathological examination was64.0%（126/197）by CT,and 82.7%（163/197）by frozen sectionexamination,respectively.However,the coincidence rate of combined application was significantly higher（94.4%,186/197）.Conclusion：Combined application of preoperative CT and frozen section examinationcould increase the accuracy rate of diagnosisin salivary gland tumors.