脱落细胞学在慢性口腔溃疡中的诊断价值

发布时间：2018-03-12 17:01

本文选题：口腔溃疡　切入点：组织病理学　出处：《临床与实验病理学杂志》2017年04期 　论文类型：期刊论文

【摘要】：目的探讨脱落细胞学检查在各种慢性口腔溃疡中的诊断价值。方法选取107例临床难以确定其溃疡性质的慢性口腔溃疡行脱落细胞学检查。术后病理或临床治疗效果验证作为最终诊断,最终诊断与细胞学检查结果进行对比分析。结果脱落细胞学检查定性诊断的准确率为95.3%,良恶性病变的敏感性为94.6%,特异性为100%,假阳性率为0,假阴性率为5.4%,细胞学检查与最终病理诊断结果完全一致的符合率为67.0%。结论脱落细胞学检查对于慢性口腔溃疡诊断具有重要的参考价值,其具有简单易行、快速、创伤小等特点,医师可根据细胞学检查结果制定下一步诊疗计划。
[Abstract]:Objective to investigate the diagnostic value of exfoliative cytology in various chronic oral ulcers. Methods 107 cases of chronic oral ulcers whose ulcers were difficult to determine their nature were selected for exfoliative cytology examination. Fruit validation as the final diagnosis, Results the accuracy of qualitative diagnosis was 95.3, the sensitivity of benign and malignant lesions was 94.6, the specificity was 100, the false positive rate was 0, the false negative rate was 5.4. The coincidence rate between the examination and the final pathological diagnosis was 67.0. Conclusion the exfoliative cytologic examination has important reference value for the diagnosis of chronic oral ulcer. It has the characteristics of simplicity, rapidity and less trauma. Doctors can make the next diagnosis and treatment plan according to cytological examination results.
【作者单位】：安徽医科大学第一附属医院口腔科;安徽医科大学第一附属医院肿瘤内科细胞学室;
【基金】：基金项目:卫生部医药卫生科技发展研究(W2013GJ42)
【分类号】：R781.5

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