中国医学科学院学报2026，Vol.48Issue(2)：296-301,6.DOI:10.3881/j.issn.1000-503X.16670
西藏地区甲状腺病变术中冰冻病理检查结果分析
Analysis of Intraoperative Frozen Section Findings of Thyroid Lesions in Xizang
罗含欢 1达珍 1次仁曲珍 1张付丽 2任新瑜 3刘汉芝 4邵建亮 5万银华 6达瓦 7王倩 1尼玛卓玛 1魏倩1
作者信息
- 1. 西藏自治区人民医院病理科,拉萨 850000
- 2. 西藏大学医学院,拉萨 850000
- 3. 西藏自治区人民医院病理科,拉萨 850000||中国医学科学院北京协和医学院 北京协和医院病理科,北京 100730
- 4. 山南市人民医院病理科,西藏自治区 山南 856000
- 5. 阜康医院病理科,拉萨 850000
- 6. 日喀则市人民医院病理科,西藏自治区 日喀则 857000
- 7. 西藏自治区人民医院普通外科,拉萨 850000
- 折叠
摘要
Abstract
Objective To analyze the accuracy of intraoperative frozen section diagnosis of thyroid le-sions in Xizang and explore the methods and measures to improve the diagnosis accuracy.Methods The clinico-pathological data of 371 patients with thyroid lesions surgically resected by four hospitals in Xizang from January 2020 to December 2024 were collected.With the paraffin section diagnosis after surgery as the standard,the ac-curacy,missed diagnosis rate,misdiagnosis rate,and delayed diagnosis rate of frozen section diagnosis were an-alyzed.Results The intraoperative frozen section diagnosis in 371 cases of thyroid lesions showed the accuracy of 95.42%(354/371),the missed diagnosis rate of 0.27%(1/371),the misdiagnosis rate of 0.54%(2/371),and the delayed diagnosis rate of 3.77%(14/371).One case was subjected to missed diagnosis,which was a pa-pillary carcinoma of the thyroid gland.Two cases were misdiagnosed.One of them was diagnosed as malignant tumor during surgery but nodular goiter with atypical hyperplasia of follicular epithelium after surgery.The other case was diagnosed as medullary carcinoma during surgery but subacute thyroiditis after surgery.Conclusions Frozen sec-tion diagnosis is an important method for determining the benign or malignant nature of thyroid lesions during sur-gery.The diagnosis rates of follicular tumors and small lesions are low during surgery.Standardized sampling,im-proving the quality of frozen sections,and mastering the microscopic morphological characteristics and diagnostic criteria of frozen sections of thyroid lesions during surgery can improve the accuracy of intraoperative frozen section diagnosis.关键词
甲状腺病变/冰冻诊断/石蜡诊断/准确性Key words
thyroid lesions/frozen section diagnosis/paraffin section diagnosis/accuracy分类
医药卫生引用本文复制引用
罗含欢,达珍,次仁曲珍,张付丽,任新瑜,刘汉芝,邵建亮,万银华,达瓦,王倩,尼玛卓玛,魏倩..西藏地区甲状腺病变术中冰冻病理检查结果分析[J].中国医学科学院学报,2026,48(2):296-301,6.
