马来西亚理科大学医院扁桃体切除标本的常规组织病理学检查——一项回顾性研究及其意义
The routine histopathological examination of tonsillectomy specimens at hospital universiti sains malaysia - a retrospective study and its implication.
作者信息
Mohamad Irfan, Hassan Shahid, Salim Rosdan
机构信息
Department of Otorhinolaryngology-Head and Neck Surgery, School of Medical Sciences, Universiti Sains Malaysia 16150 Kubang Kerian, Kelantan, Malaysia.
出版信息
Malays J Med Sci. 2007 Jan;14(1):53-5.
Tonsillectomy is performed for several indications, the two commonest in practice are infective (chronic tonsillitis) and obstructive symptoms such as sleep apnea. The objective of this study is to determine the necessity of routinely performed histopathological examination of fonsillectomy specimens. In this paper, a retrospective evaluation of 480 specimens from 241 patient who had undergone tonsillectomies in Hospital Universiti Sains Malaysia between January 2004 and October 2005 was done. It was found that 462 (96.25 %) were reactive lymphoid hyperplasia and 18 (3.75 %) were follicular hyperplasia. None of them were found to be malignant. The result of this study indicates that routine histopathological examination of tonsillectomy specimens are unnecessary and results only in added cost and a loss of man hours.
扁桃体切除术有多种适应症，实际操作中最常见的两种是感染性（慢性扁桃体炎）和阻塞性症状，如睡眠呼吸暂停。本研究的目的是确定对扁桃体切除标本进行常规组织病理学检查的必要性。本文对2004年1月至2005年10月在马来西亚理科大学医院接受扁桃体切除术的241例患者的480份标本进行了回顾性评估。结果发现，462份（96.25%）为反应性淋巴组织增生，18份（3.75%）为滤泡性增生。未发现有恶性病变。本研究结果表明，对扁桃体切除标本进行常规组织病理学检查没有必要，只会增加成本和浪费人力。
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