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切缘定位装置在冷冻制片中的应用研究OACSTPCD

Research on the application of edge positioning device in frozen slides

中文摘要英文摘要

目的:探讨应用切缘定位装置和传统方式制作冷冻切片时的时间和效果,分析切缘定位装置在多切缘同时送检时的应用价值.方法:收集上海交通大学医学院附属第九人民医院口腔颌面头颈肿瘤科 2023 年 6 月 1~3日间行手术且需要行术中切缘快速冷冻制片的病例 15 例,随机分成实验组(采用切缘定位装置)、对照组和常规组,采用 3 种不同方式制片,对制片时间、切缘直径差值(D差)和完整性进行评估.结果:实验组所用冷冻切缘的制片时间要明显短于常规组(P=0.001),长于对照组(P=0.166).实验组D差值明显小于对照组(P<0.001),与常规组相比无明显差异(P=0.181).实验组切缘制片的完整性优于对照组(P=0.001),与常规组切缘完整性之间无统计学差异(P=0.538).结论:手术切缘定位装置在制片时间方面要优于传统制片方式,直径差值和完整性方面与传统方式相接近,可作为术中多个切缘冷冻制片的一种选择.

Objective:To study the comparison of time and effectiveness between the application of edge positioning device and traditional methods for making frozen slides,and analyze the application value of edge positioning device in simul-taneous inspection of multiple edges.Methods:Fifteen cases who underwent surgery and required intraoperative rapid frozen edge preparation were enrolled at the Department of Oral Maxillofacial Head and Neck Oncology,Shanghai Ninth People's Hospital between June 1 and 3,2023.Randomly divide into experimental,control,and conventional groups,and evaluate the time,diameter difference,and completeness using three different methods.Results:The experimental group took significantly less time than the conventional group(P=0.001)and longer than the control group(P=0.166).The diameter difference in the experimental group was significantly smaller than that in the control group(P<0.001),and there was no significant differ-ence compared to the conventional group(P=0.181).The integrity score of edge in the experimental group was higher than that in the control group(P=0.001),and there was no statistical difference between the experimental group and the conven-tional group(P= 0.538).Conclusion:The surgical edge positioning device is superior to traditional methods in terms of time,and is similar in diameter difference and integrity to traditional methods.It can be used as a choice for intraoperative frozen production of multiple edges.

顾挺;张莺;钱佳骏;薛俊青;刘胜楠;王敏;胡宇华;张春叶

上海交通大学医学院附属第九人民医院口腔病理科 上海交通大学口腔医学院 国家口腔医学中心国家口腔疾病临床医学研究中心 上海市口腔医学重点实验室 上海市口腔医学研究所,上海 200011

口腔医学

冷冻制片切缘定位装置制片时间完整性

Frozen slidesEdgePositioning deviceTimeIntegrity

《临床口腔医学杂志》 2024 (002)

97-100 / 4

上海交通大学医学院附属第九人民医院临床研究助推计划(JYLJ202119);上海交通大学医学院附属第九人民医院研究型学科(KOYJXK2020)

10.3969/j.issn.1003-1634.2024.02.008

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