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目的:研究细针穿吸细胞学检查对腮腺区肿块诊断及手术美学设计的应用评价。方法:对151例腮腺区肿块患者术前行细针穿吸细胞学检查,根据穿刺诊断设计手术切口及方法,术中冰冻病理诊断,并与术后常规病理诊断作对照。结果:细胞学检查定性诊断的准确率为93.4%,术中冰冻病理诊断的准确率为96.1%,细胞学诊断与组织病理诊断完全一致的诊断符合率,良性肿瘤为93.9%,恶性肿瘤为92.3%。根据穿刺诊断设计手术切口及方法,术后外形恢复良好,无出血、感染、面神经损伤等并发症发生。结论:细针穿吸细胞学检查在腮腺区肿块的诊治中有重要作用,是一种快速、经济、安全、并发症较少和诊断准确率高的细胞学诊断手段。
Objective: To study the application of fine needle aspiration cytology in the diagnosis of parotid gland mass and aesthetic design of surgery. Methods: 151 cases of parotid gland mass were preoperative fine needle aspiration cytology, according to puncture diagnosis and design of surgical incision and method, intraoperative frozen pathological diagnosis, and routine postoperative pathological diagnosis as a control. Results: The diagnostic accuracy rate of cytology was 93.4%. The accuracy rate of intraoperative frozen pathology diagnosis was 96.1%. The coincidence of cytology diagnosis and histopathology diagnosis was 93.9%, and the malignant tumor was 92.3 %. According to puncture diagnosis and design of surgical incision and method, postoperative shape recovery was good, no bleeding, infection, facial nerve injury and other complications. CONCLUSION: Fine needle aspiration cytology plays an important role in the diagnosis and treatment of parotid gland mass. It is a cytological diagnostic method that is rapid, economical, safe, with less complications and high diagnostic accuracy.