摘要
目的通过研究口腔涎腺肿瘤不同检查的诊断符合率,为临床提供术前快速、简便、有效、低成本的诊断方法。方法回顾性分析274例常见涎腺肿瘤B超检查、细针吸取细胞学和术中冷冻切片镜检,并与术后组织病理学检查进行对比。结果①B超与石蜡切片对比总的定性诊断符合率为83.2%,其中良性肿瘤的诊断符合率为85.2%,恶性肿瘤符合率为73.3%。②细针吸取细胞学与石蜡切片对比总的定性诊断符合率为87.0%,其中良性肿瘤为88.6%,恶性肿瘤为79.2%;明确诊断总的符合率为63.8%,其中良性肿瘤为64.0%,恶性肿瘤为62.5%。③冷冻切片与石蜡切片对比总的定性诊断符合率为94.9%,其中良性肿瘤为97.4%,恶性肿瘤为83.0%。结论术中冷冻切片对于涎腺肿瘤的诊断符合率较细针吸取细胞学及B超检查的符合率高,但细针吸取细胞学与B超在术前诊断和治疗计划中有很好的辅助作用。
Objective To investigate the diagnostic accuracy of B-ultrasonography,fine needle aspiration biopsy,and peri-surgical frozen section biopsy in oral salivary glands tumors.Methods Totally 274 cases with salivary gland tumors were involved in this study.B-ultrasonography,fine needle aspiration biopsy and peri-surgical frozen section biopsy were performed in all patients.Diagnostic accuracy of the tools was confirmed with the postoperative histopathological examination.Result The total qualitative diagnostic accuracy of B-ultrasonography was 83.2%,of which the benign tumor and malignant tumor was 85.2%and 73.3%,respectively.The total qualitative diagnostic accuracy of fine needle aspiration biopsy was 87.0%,of which the benign tumor and malignant tumor was 88.6%and 79.2%,respectively.The definite diagnosis rate was 63.8%,of which the benign tumor and malignant tumor was 64.0%and 62.5%,respectively.The total qualitative diagnostic accuracy of peri-surgical frozen section biopsy was 94.9%,of which the benign tumor and malignant tumor was 97.4%and 83.0%,respectively.Conclusions Diagnostic accuracy of peri-surgical frozen section biopsy is satisfactory while the fine needle aspiration biopsy and B-ultrasonography are good pre-surgical diagnostic tools.
作者
孙碧文
徐江
余芯乐
郁晓丹
李胜男
胡晨凡
武静
Bi-wen Sun;Jiang Xu;Xin-le Yu;Xiao-dan Yu;Sheng-nan Li;Chen-fan Hu;Jing Wu(The First Affiliated Hospital of the Medical College,Shihezi University,Shihezi,Xinjiang 832000,China)
出处
《中国现代医学杂志》
CAS
2019年第7期72-75,共4页
China Journal of Modern Medicine
基金
国家自然科学基金(No:81560442)
关键词
涎腺肿瘤
冷冻切片
细针吸取
B超
salivary gland tumors
cryosection
fine-needle aspiration
B-ultrasonograph
