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目的 探讨术中细针活检细胞组织学诊断在胰腺壶腹周围占位性病变的诊断价值。方法 对天津肿瘤医院 ,自 1991年 12月至 1996年 12月经手术治疗 87例胰腺壶腹周围占位病变行术中细针活检 ,所有病例均再经手术切除标本 ,或随访结果进一步证实其符合率。结果 87例中细针活检诊断找到恶性肿瘤细胞 49例 ( 5 6% ) ,未找到恶性肿瘤细胞为 3 0例 ( 3 5 % ) ,3例 ( 3 % )为可疑 ,5 ( 6% )例为取材不满意。无假阳性诊断 ,假阴性为 10 %。结论 胰腺壶腹周围占位病变术中细针活检细胞学检查 ,对明确良恶性诊断、指导术式选择是一种较实用 ,有效的方法。
Objective To investigate the value of intraoperative needle biopsy in the diagnosis of space-occupying lesions around the ampulla of pancreas. Methods Tumor resection was performed in Tianjin Tumor Hospital from December 1991 to December 1996. Surgical treatment of 87 cases of peripancreatic lesions around the pancreas was performed intraoperative fine needle biopsy. All cases were surgically removed or the results were further confirmed by follow-up rate. Results In 87 cases, 49 cases (56%) of the malignant cells were found by fine needle biopsy, 30 cases (35%) were not found, 3 (3%) were suspicious and 5 (6%) cases Not satisfied for the drawing. No false positive diagnosis, false negative was 10%. Conclusions Cytological examination of fine needle biopsy in the peri-ampulla of pancreas around the ampulla is a practical and effective method for the definite diagnosis of benign and malignant diseases.