甲状腺微小乳头状癌的术中冰冻病理诊断研究

Intraoperative Frozen Pathological Diagnosis of Microthyroid Papillary Carcinoma

目的:探讨甲状腺微小乳头状癌术中应用冰冻病理诊断的价值。方法:选取某院2017年4月~2019年7月期间收治的甲状腺微小乳头状癌患者120例,行术中快速冰冻病理诊断,均以术后病理诊断结果为准,分析术中快速冷冻病理诊断确诊率。结果:与术后病理诊断结果一致患者80例,诊断准确率为75%。结论:采取术中冰冻病理诊断可以协助医师快速判断甲状腺微小乳头状癌患者的癌症进展与分级情况,但是同时也存在一定的误诊率、漏诊率,所以在实际应用过程中需要做好优化改善工作,尽可能提升诊断的结果准确性,必要时搭配其他诊断手段联合诊断,以此来为手术提供必要的资料与支持。

Objective:To investigate the value of intraoperative frozen pathological diagnosis of microthyroid papillary carcinoma.Methods:A total of 120 patients with micropapillary thyroid cancer treated in a hospital from April 2017 to July 2019 were selected.All 120 patients were given intraoperative rapid frozen pathological diagnosis,based on the results of postoperative pathological diagnosis,the diagnosis rate of rapid frozen pathological diagnosis was analyzed.Results:80 patients were consistent with postoperative pathological diagnosis,and the diagnostic accuracy was 75%.Conclusion:The intraoperative frozen pathological diagnosis can help physicians to quickly judge the cancer progression and grade of patients with thyroid micropapillary carcinoma,but there are also some misdiagnosis and missed diagnosis rates,so it is necessary to optimize and improve the work in the actual application process to improve the accuracy of the diagnosis results as much as possible.If necessary,it can be combined with other diagnostic methods to provide necessary data and support for surgery.