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目的 术中行细针吸取（FNAC）胰腺及壶腹周围肿瘤进行细胞学诊断。方法 术中由医生行FNAC涂片,自然干燥,用瑞-姬氏复合染色,先用低倍镜纵览全片,发现可疑细胞换油镜确定。结果78例疑为胰腺及壶腹周围部占位性病变,术中行 FNAC细胞学检查,其中61例为阳性,4例为可疑阳性,3例为假阳性,与术后病理组织学诊断68例恶性肿瘤做对照,其准确度为92.3％。结论FNAC细胞学检查术中胰腺及壶腹周围肿瘤可代替术中冰冻切片,方法简便、快速,阳性准确度高,很受临床医生的认可。
Objective To perform cytological diagnosis of tumors around the pancreas and ampulla by fine needle aspiration (FNAC). Methods During the operation, the FNAC smear was performed by a doctor. The smear was naturally dried and stained with Rui-Ji composite. Results 78 cases were suspected to be space-occupying lesion in the pancreas and ampulla. Intraoperative FNAC cytology was performed. Among them, 61 were positive, 4 were suspicious, 3 were false-positive, and 68 were histopathologically diagnosed Malignant tumors as a control, the accuracy of 92.3%. Conclusion FNAC intraoperative cytology of pancreas and ampulla around the tumor instead of intraoperative frozen section, the method is simple, rapid, positive and accurate, highly recognized by clinicians.