甲状腺穿刺全细胞学诊断的优越性(附236例诊断分析)

Superiority of cytological diagnosis of glandula thyreoidea puncture: A report of 236 cases

目的:探讨甲状腺穿刺细胞学诊断的细胞特征及临床意义。方法:对照236例甲状腺肿大穿刺细胞学分型的确诊率及与临床病理对照的符合率。结果:甲状腺炎134例,临床确诊134例,符合率为100%。其中,淋巴性甲状腺炎(桥本病)86例,临床确诊83例,符合率为96.51%。亚急性甲状腺炎51例,临床确诊48例,符合率为94.11%。甲状腺肿31例,临床确诊31例,符合率为100%。甲状腺乳头状瘤37例,病理确诊36例,符合率为97.29%。甲状腺乳头状癌35例,病理确诊34例,符合率为97.14%。结论:穿刺细胞学诊断的确诊率可达90%以上,不仅方法简单,易掌握,而且费用低,患者痛苦小,易接受,可快速作出诊断。为临床对肿瘤疾病的早预防、早发现、早治疗提供了帮助。

lue of cytological diagnosis of glandula thyreoidea puncture. Method Final diagnosis rate and coincidence with clinic patho were compared in 236 cases of cytological type of glanduhl thvrcoidea puncture. Results For 134 thyroadenitis with the coincidence of 100%, including lymphic thyroadenifis of 86 cases, with the coincidence of 96.51% ; subacute - thyroadenitis of 51 cases, with the coincidence of 94.11%. For 31 cases of goiter, with the coincidence of 100%. For 37 papillary epithelioma of thyroid, with the coincidence of 97.29%. For 35 papillary carcinoma,of thyroid, with the coincidence of 97.14%. Condusion The final diagnosis rate of glandula thyreoidea puncture is above 90% in this study. The meoths is simple, cheap, acceptable and quickly diagnosis. It is useful methods to early - precaution, early - finding and early - cure in the carcinoma dieases in clinic.