甲状腺细针穿刺细胞学检查在甲状腺结节诊断中的应用价值

Application value of fine needle aspiration cytology examination in the diagnosis of thyroid nodules

目的探讨细针穿刺细胞学检查用于甲状腺结节诊断的准确性。方法回顾性分析我院2014年6月~2016年9月收治的86例甲状腺结节患者,患者先行细针穿刺细胞学检查,后手术切除病变组织进行病理学检查,并以组织病理学检查结果为金标准,观察细针穿刺细胞学检查的疾病检出率,分析细胞学检查用于甲状腺结节诊断的敏感性、特异性。结果以组织病理学检查结果为标准,细针穿刺细胞学检查疾病的特异性为89.8%,准确率为88.4%,敏感性为88.9%;细针穿刺细胞学检查甲状腺肿的检出率为98.0%、髓样癌为100.0%,乳头状癌检出率为88.5%,滤泡性腺瘤检出率最低,仅为25.0%。结论甲状腺结节者以细针穿刺细胞学检查诊断,除了对滤泡性病变检出率较低外,其他类型均有较高检出率,此种检查方式对多数甲状腺结节具有较高诊断价值。

Objective To explore the accuracy of fine needle aspiration cytology in the diagnosis of thyroid nodules.Methods The clinical data of 86 patients with thyroid nodules from June 2014 to September 2016 in our hospital were analyzed retrospectively.The patients were carried out fine needle aspiration cytology examination firstly and then pathological examination were carried out among surgical excision of diseased tissue.The pathological examination results were taken as the gold standard.Disease detection rate was observed by fine needle aspiration cytology and the sensitivity and specificity in the diagnosis of thyroid nodule by cytology examination were analyzed.Results The inspection results of histopathological examination were taken as standard.The specificity,the accuracy rate and the sensitivity rate of fine needle aspiration in testing the disease was 89.8%,88.4% and 88.9% respectively.The detection rate of the disease that the relevance ratio of goiter,carcinoma spongiosum and papillocarcinoma were 98.0%,100.0% and 88.5%respectively by fine needle aspiration examination but the relevance ratio of follicular adenoma was only 25.0%.Conclusion Other than the lower relevance ratio of follicular lesion,the relevance ratio is high by the adoption of fine needle aspiration cytologic examination and diagnosis for patients with other types of thyroid nodule so that it′s of higher diagnostic value.