Open Access Article
Journal of Advances in Clinical Nursing. 2024; 3: (2) ; 126-128 ; DOI: 10.12208/j.jacn.20240080.
The value of rapid frozen pathological diagnosis during breast mass surgery
乳腺肿块术中快速冰冻病理诊断的价值
作者：
张帅君1,
刘玉兰2,
程双华2,
陈仕高2,
李思思1 *
1 四川大学华西第二医院出生缺陷与相关妇儿疾病教育部重点实验室 四川成都
2 成都医学院第二附属医院·核工业四一六医院 四川成都
*通讯作者：
李思思,单位：；
发布时间: 2024-02-20 总浏览量: 207
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摘要
目的 研究分析乳腺肿块术中快速冰冻病理诊断的应用价值。方法 选取我院2018年3月-2023年10月期间收治的82例乳腺肿块患者采取乳腺肿块术中快速病理诊断，将术后石蜡病理学检查作为金标准，对比分析诊断结果。结果 阳性、阴性例数术后石蜡病理显示为73例、9例，术中快速冰冻病理显示为71例、11例，两者Kappa值为0.973。术中快速冰冻病理敏感度、特异度和准确度，分别为97.26%、100.00%、97.56%。两种诊断方式组织分级Ⅰ级、Ⅱ级、Ⅲ级符合率对比差异明显（P＜0.05）。结论 在乳腺肿块采用术中冰冻病理诊断有着较高的应用价值。
关键词： 乳腺肿块；术中快速冰冻；病理诊断
Abstract
Objective To study and analyze the application value of rapid frozen pathological diagnosis in breast mass surgery. Methods 82 patients with breast masses admitted to our hospital from March 2018 to October 2023 were selected for rapid pathological diagnosis during breast mass surgery. Postoperative paraffin pathology examination was used as the gold standard to compare and analyze the diagnostic results. Results The number of positive and negative cases was 73 and 9 on postoperative paraffin pathology, and 71 and 11 on intraoperative rapid freezing pathology. The Kappa values of both were 0.973. The sensitivity, specificity, and accuracy of intraoperative rapid freezing pathology were 97.26%, 100.00%, and 97.56%, respectively. There is a significant difference (P<0.05) in the comparison of the conformity rates between the two diagnostic methods for organizational classification of level I, level II, and level III. Conclusion The use of intraoperative frozen pathological diagnosis in breast masses has high practical value.
Key words： Breast mass; Rapid intraoperative freezing; Pathologic diagnosis
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引用本文
张帅君, 刘玉兰, 程双华, 陈仕高, 李思思, 乳腺肿块术中快速冰冻病理诊断的价值[J]. 临床护理进展, 2024; 3: (2) : 126-128.