文档介绍:2011年第38卷第22期1138例肺部肿物术中冰冻诊断结果分析董元焕①②孙蕾娜①战忠利①孙保存①摘要目的:通过对1138例肺部肿物的冰冻切片进行回顾性分析,探讨术中冰冻对肺部肿物诊疗的价值。方法:收集并整理1138例肺部肿物术中冰冻切片及其诊断结果,并与相应石蜡切片及诊断结果进行比较,总结分析肺部肿物冰冻诊断的特点和常见误诊原因。结果:%(1094/1138),%(44/1138);误诊比例最高的三个病种分别为炎性假瘤(%)、硬化性血管瘤(%)及结核病(%)。结论:术中冰冻切片诊断对肺部肿瘤的性质确定具有重要意义。正确的冰冻诊断需要全面的临床资料和足够的病变组织;病理医师要有良好的病理基础和冰冻切片诊断的丰富经验及较全面的临床、影像学知识才能保证诊断的可靠性。关键词肺肿瘤冰冻误诊doi:.1000-:①天津医科大学附属肿瘤医院病理科,天津市肿瘤防治重点实验室,天津市肺癌诊治中心(天津市300060);②天津市宁河县医院通信作者:战忠利******@Analysis of the Diagnosis of1,138Frozen Sections of Lung CancerYuanhuan DONG, Leina SUN, Zhongli ZHAN, Baocun SUNCorrespondence to: Zhongli ZHAN, E-mail: ******@Department of Pathology, Tianjin Medical University Cancer Institute and Hospital, Tianjin Key Laboratory of Cancer Prevention andTherapy and Tianjin Center for Lung Cancer Diagnosis and Treatment, Tianjin300060, ChinaTianjin Ninghe Hospital, Tianjin301500, ChinaAbstractObjective:To discuss the value of the frozen technique in diagnosing and treating lung cancer through retrospectiveanalysis of1,138cases with frozen sections of lung :The intra-operative frozen section and diagnostic results of thesecancer cases were collected and sorted, and then pared with relevant paraffin sections and diagnoses of other cases. The char-acteristics of the frozen section mon causes of misdiagnosis of lung tumor