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[目的]探讨术前细针穿刺细胞学检查和术中冰冻活组织检查在腮腺肿瘤诊断中意义.[方法]在277例腮腺肿瘤患者中,给141例进行了术前细针穿刺细胞学检查,138例行术中冰冻活组织检查,将2种检查结果与术后常规病理检查结果进行比较分析.[结果]良、恶性肿瘤术前细针穿刺细胞学检查定性诊断率为88.65%,与术后病理检查结果诊断符合率为85.82%,其中良、恶性肿瘤诊断符合率分别为92.00%,37.50%;良、恶性肿瘤术中冰冻活组织检查定性诊断率为99.28%,与术后病理检查结果诊断符合率为97.10%,其中良、恶性肿瘤诊断符合率分别为98.45%,77.78%.[结论]术前细针穿刺细胞学检查和术中冰冻活组织检查可作为腮腺肿瘤常规检查方法.
[Objective] To investigate the significance of preoperative fine needle aspiration cytology and intraoperative frozen biopsy in the diagnosis of parotid tumors. [Methods] Among 277 patients with parotid gland tumor, 141 cases were examined by fine needle aspiration cytology , 138 cases of intraoperative frozen biopsy, the two kinds of examination results and postoperative routine pathological examination results were compared and analyzed. [Results] The positive diagnostic accuracy of preoperative fine needle aspiration cytology was 88.65%, and The coincidence rate of postoperative pathological examination was 85.82%, and the coincidence rates of benign and malignant tumors were 92.00% and 37.50% respectively. The qualitative diagnosis rate of intraoperative frozen biopsies of benign and malignant tumors was 99.28%, and the postoperative pathological examination Results The diagnostic coincidence rate was 97.10%, of which the diagnostic coincidence rates of benign and malignant tumors were 98.45% and 77.78% respectively. [Conclusion] Preoperative fine needle aspiration cytology and intraoperative frozen biopsy can be used as routine examination of parotid gland tumor.