重视病理检查工作 提高眼部疾病的诊疗水平
Pay attention to the pathological examination and improve the level of diagnosis of eye diseases
摘要临床病理学检查是对组织活检标本、大体取材和切片进行组织形态学检查的临床应用技术,可结合临床表现、手术所见、肉眼变化和光学显微镜下的组织细胞形态改变进行病理学诊断,并可进一步对组织切片进行免疫组织化学和分子生物学检测,从而对疾病进行精确诊断,为疾病的病因和发病机制研究、病理转归及预后判断等提供可靠依据.临床病理学检查结果不仅是多种疾病诊断的金标准,一些病理学新技术还是治疗的一种手段.眼科是一门与外科手术相关的应用临床学科,临床工作中我们发现,忽视对手术切除组织标本的病理检查是造成眼病误诊误治的根本原因,此外诊断上的延误也会增加疾病恶化和致死的风险.眼科临床病理学检查是避免眼病误诊误治的具体措施之一,建议眼科临床医师重视眼科疾病的病理检查工作,以对眼科疾病实施精准治疗.
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abstractsClinicopathology is a clinical application technology of histomorphological examination on tissue biopsy specimens,gross sampling and slice,and a pathological diagnosis is obtained by combining with clinical manifestations,surgical findings,gross changes and the cell morphology change under the optical microscope and further immunohistochemistry and molecular biological detection on tissue sections,thus to accurately diagnose the disease and provide a reliable basis for pathological disease etiology,pathogenesis research,eye disease outcome and prognosis judgement.Ocular pathology was not only the gold standard of the diagnosis,but also a therapeutic tool for eye diseases.Ophthalmology is a surgery related clinical disciplines.In clinical work,we found that ignoring the pathological examination of resected tissue specimens is the primary cause of misdiagnosis and mistreatment of eye disease,diagnostic delays can also increase the disease deterioration and mortality risk.Ocular clinical and pathological examination is one of the specific measures to avoid misdiagnosis and mistreatment,it is suggested that ophthalmology clinicians pay attention to the pathological examination in order to carry out precise treatment of eye diseases.
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