细针吸取细胞学诊断甲状腺炎

Cytological diagnosis of thyroiditis by fine needle aspiration

对697例甲状腺炎的细针吸取细胞学诊断进行总结，急性甲状腺炎6例，亚急性甲状腺炎64例，木样甲状腺炎7例，放射性甲状腺炎2例，毒性甲状腺肿伴淋巴细胞浸润67例，淋巴细胞性甲状腺炎278例及桥本甲状腺炎273例。文中着重描述了甲状腺针吸的方法步骤，诊断中应注意的问题。作者认为，用针吸细胞学检查方法确定甲状腺炎症，能获得满意结果，可为临床制定治疗方案提供可靠依据。因此，该方法在甲状腺疾病检查中具有重要意义。

697 cases of thyroiditis diagnosed by fine needle aspiration cytology (FNAC) were analyzed, including 6 cases of acute thyroiditis, 64 cases of subacute thyroiditis, 7 cases of Riddle's thyroiditis, 2 cases of radiation thyroiditis, 67 cases of toxic goiter associated with lymphocytic infiltration, 278 cases of lymphocytic thyroiditis and 273 cases of Hashimoto's thyroiditis. Procedures of aspiration were described in detail and points of attention were emphasized to increase diagnostic accuracy. Diagnosis of thyroiditis with the cytological method is satisfactory, and reliable evidences can be provided for clinical workers to work out a therapeutic scheme, thus, it is of great important value in the clinical examination of thyroid lesions.