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目的探讨卵巢黏液性及浆液性肿瘤术中冰冻诊断要点,提高术中冰冻切片对其的诊断。方法对139例卵巢黏液性及浆液性肿瘤行术中冰冻检查并经术后石蜡切片明确诊断患者的临床病理资料进行回顾性分析。结果 139例卵巢黏液性及浆液性肿瘤患者术后石蜡切片结果:51例为良性浆液性囊腺瘤,40例为良性黏液性囊腺瘤,27例为交界性肿瘤,11例为黏液性囊腺癌,10例为浆液性囊腺癌;术中冰冻切片结果,7例延迟诊断,5例误诊,3例术中冰冻切片诊断为良性肿瘤而术后石蜡切片确诊为交界性肿瘤。冰冻切片与石蜡切片诊断符合率为91.37%(127/139)。结论卵巢黏液性及浆液性肿瘤术中冰冻切片诊断发生漏诊和过诊都可能导致严重后果,提高对卵巢黏液性及浆液性肿瘤的识别和鉴别能力,提高卵巢黏液性及浆液性肿瘤手术中冰冻切片诊断的准确性,可为临床医生的手术方案提供确切依据。
Objective To investigate the key points of intraoperative frozen diagnosis of ovarian mucinous and serous tumors and to improve intraoperative frozen section diagnosis. Methods One hundred and nine cases of ovarian mucinous and serous tumors were retrospectively analyzed by intraoperative frozen examination and clinicopathological data of patients diagnosed by paraffin section. Results The results of paraffin sections of 139 cases of ovarian mucinous and serous tumors were: benign serous cystadenoma in 51 cases, benign mucinous cystadenoma in 40 cases, junctional tumor in 27 cases and mucinous cyst in 11 cases Adenocarcinoma, 10 cases of serous cystadenocarcinoma; intraoperative frozen section results, 7 cases of delayed diagnosis, 5 cases of misdiagnosis, 3 cases of intraoperative frozen section diagnosed as benign tumor and paraffin section after diagnosis of borderline tumors. The coincidence rate of frozen section and paraffin sections was 91.37% (127/139). Conclusions The diagnosis and diagnosis of ovarian mucinous and serous tumors may cause serious consequences in the diagnosis of ovarian mucinous and serous tumors, improve the ability to recognize and differentiate ovarian mucinous and serous tumors, improve ovarian mucinous and serous tumor surgery The diagnostic accuracy of the slice can provide an accurate basis for the clinician’s surgical plan.