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时间:2018-12-07
《乳腺癌术中冰冻诊断准确性的相关影响因素探析》由会员上传分享,免费在线阅读,更多相关内容在学术论文-天天文库。
1、乳腺癌术中冰冻诊断准确性的相关影响因素探析湖南永州职业技术学院附属医院425006【摘要】目的:研究探讨影响乳腺癌术中冰冻诊断准确性的因素。方法:选取我院2014年5月到2016年5月收治的105例乳腺癌患者作为研宄对象,所有患者均在术中实施冰冻病理切片检查,并对其肿瘤组织学大小、分级进行判断,以术后石蜡病理切片诊断结果为依据,计算术中冰冻诊断不同肿瘤组织学大小、分级的准确率。结果:以术后石蜡病理诊断结果为依据,患者的病理组织经术中冰冻诊断后,肿物组织学大小、肿瘤病理分级的诊断准确率分别为84.76%、81.90%,其中,肿物组织学大小〉3cm患者的诊断准确率(93.75%)显著高
2、于组织学大小≤3cm(80.82%)的患者,肿瘤分级为III级(95.24%)的乳腺癌患者诊断准确率显著高于高于II级患者(84.62%)高于I级患者(75.86%)的情况,比较均有统计学差异(P<0.05)o结论:乳腺癌术中冰冻诊断的准确性受到患者的肿物的组织学大小、肿瘤分级等的影响,诊断中需注意把握上述因素的影响程度,通过提高冰冻诊断的操作质量和诊断准确性,促进手术顺利进行。【关键词】乳腺癌;术中冰冻诊断;准确性;病理因素【abstract】objective:tostudythefactorsinfluencingtheaccuracyoftheintraoperati
3、vefrozenbreastcancerdiagnosis.Methods:fromMay2014toMay2014treated105casesofbreastcancerpatientsastheresearchobject,allthepatientswereinintraoperativefrozenpathologicalbiopsy,andtodeterminethetumorsize,histologicalclassification,basedonpostoperativepathologicaldiagnosisofparaffinwax,calculateth
4、eintraoperativefrozendiagnosisdifferenttumorsize,histologicalclassificationaccuracy.Results:basedonpostoperativeparaffinpathologydiagnosis,patientswithpathologicaltissueafterintraoperativefrozendiagnosis,thediagnosisofneoplasmhistologysize,tumorpathologyclassificationaccuracyrateis84.76%,81.90
5、%respectively,amongthem,thesizeofneoplasmhistology>3cmdiagnosticaccuracy(93.75%)weresignificantlyhigherinpatientswithhistologicalsize3cmorless(80.82%)patients,tumorclassificationofIIIlevel(95.24%)ofpatientswithbreastcancerdiagnosisaccuracyissignificantlyhigherthangradehigherthanIIpatients(8
6、4.62%)thanIlevel(75.86%)patients,comparingwerestatisticallysignificant(P<0.05).Conclusion:intraoperativefrozendiagnosticaccuracyofbreastcancerbyneoplasminpatientswithhistologicgrading,tumorsize,etc,theeffectofdiagnosisshouldbepayattentiontograspthedegreeoftheinfluenceoftheabovefactors,throu
7、ghimprovethequalityoftheoperationofthefrozendiagnosisanddiagnosticaccuracy,promoteoperationsmoothly.【keywords】breastcancer;Intraoperativefrozendiagnosis;Accuracy;Pathologicalfactors乳腺癌是最为常见ja发病率最高女性恶性肿瘤之一,而手术是治疗乳腺癌的有效手段[1】,把握乳腺癌病灶的病理状态对
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