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子宫内膜癌术中冰冻和术后石蜡标本病理诊断影响因素分析 被引量:3

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摘要 目的探究子宫内膜癌术中冰冻和术后石蜡标本病理诊断的影响因素。方法研究对象选取为2014年7月~2018年8月之间本院收治的389例子宫内膜癌患者,进行术中冰冻病理诊断及术后石蜡病理诊断,对比两种检验在肿瘤细胞级别、肿瘤肌层浸润方面的一致性,并分析影响两组检验一致性的相关因素。结果术中冰冻病理诊断及术后石蜡病理诊断在细胞级别的一致性为78.6%,不同分级检验一致性有所差异,G1、G2、G3的一致性分别为88.6%、60.6%、95.2%,随肌层浸润程度加深,细胞级别的诊断一致性也逐渐提升;术中冰冻病理诊断及术后石蜡病理诊断在肌层浸润的一致性为97.8%,随着细胞级别的提高,肌层浸润的检验一致性逐渐降低。从影响因素分析来看,对细胞级别一致性的影响因素包括估计肌层浸润深度、细胞分级(P <0.05);对肌层浸润一致性的影响因素包括绝经后出血、细胞分级(P <0.05)。结论冰冻病理诊断在诊断子宫内膜癌肌层浸润方面的结果与术后石蜡标本检验的一致性较好,但在细胞级别诊断上具有一定的局限性。
作者 张萍
出处 《临床研究》 2019年第6期159-161,共3页 Clinical Research
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