超声引导下细针穿刺活检30例甲状腺结节患者的诊断价值

The diagnostic value of ultrasound guided fine needle as piration in 30 cases of thyroid nodules

目的探讨超声引导下细针穿刺活检对甲状腺结节患者的诊断价值。方法 60例甲状腺结节患者,分成观察组和对照组。对照组采用触诊穿刺活检;观察组采用超声引导下细针穿刺活检。结果结节直径>2 cm的患者,观察组的阳性预告值高于对照组,差异有统计学意义(P<0.05);结节直径≤2 cm的患者,观察组的敏感性和准确性高于对照组,差异有统计学意义(P<0.05)。结论超声引导下细针穿刺活检是一种比较简单、快速、安全的甲状腺结节的诊断方法,具有较高的临床价值。

Objective To explore the diagnostic value of Ultrasound guided fine needle aspiration biopsy of thyroid nodule patients.Methods 60 patients with thyroid nodules were divided into observation group and control group.Palpation biopsy was used in control group,and the ultrasound guioled fine needle aspiration biopsy was used in observation group.Results Nodules diameter 2 cm in patients with positive predictive value of observation group was higher than the control group.The difference between the two groups was very significant（P0.05）.Nodules in patients ≤ 2 cm in diameter,sensitivity and accuracy of observation group was higher than the control group,the difference between the two groups was very significant（P0.05）.Conclusion Ultrasound guided fine needle aspiration biopsy is a simple,rapid and safe method for diagnosis of thyroid nodules.It has a great clinical application value.