甲状腺结节细针穿刺365例细胞学分析

Thyroid Nodule Fine Needle Aspiration Biopsy 365 Cases Cytology Analysis

目的探讨甲状腺结节细针穿刺细胞学检查的诊断价值。方法回顾性分析365例甲状腺结节患者的细针穿刺细胞学检查结果,并与组织病理学检查结果进行对照。结果甲状腺结节细针穿刺的诊断结果与组织病理学结果相符者342例,总符合率为93.70%,其中对乔本甲状腺炎的诊断准确率最高(97.22%),对滤泡癌的诊断准确率最低(57.14%)。结论细针穿刺细胞学检查对多数甲状腺结节诊断的准确性较高,具有重要的诊断价值,但仍应结合临床及术中组织病理学检查等进行综合分析。

Objective To study the thyroid nodule fine needle aspiration biopsy cytology diagnostic value.Methods A retrospective analysis of 365 cases of patients with thyroid nodule of fine needle aspiration biopsy cytology results,and histopathological examination results are controls.Results The fine needle aspiration biopsy thyroid nodule diagnosis and the histopathologic accurate result,the total coincidence was 342 patients,including the 93.70% thyroiditis for Joe the diagnostic accuracy rate was highest （97.22%） of follicular carcinoma,the diagnostic accuracy rate lowest （57.14%）.Conclusion Fine needle aspiration biopsy cytology for most of thyroid nodule diagnosis accuracy is higher,with important diagnostic value,but still should combine the clinical and histopathological examination intraoperative analysis.