细针甲状腺穿刺活检在甲状腺疾病诊断中的价值

Value of biopsy with fine-needle aspiration in pathological diagnosis of thyroid diseases

目的评价细针甲状腺穿刺活检在甲状腺疾病诊断中的价值。方法回顾分析154例患者甲状腺细针穿刺的临床资料及其细胞病理诊断结果。结果 154例中,恶性病变2例(1.3%),可疑恶性病变11例(7.1%),良性病变119例(77.3%),未明确诊断者22例(14.3%)。良性病变中,桥本甲状腺炎41例(34.5%),结节性甲状腺肿24例(20.2%)。诊断为恶性的2例患者,术后组织病理均为甲状腺乳头状癌。结论细针甲状腺穿刺病理检查是甲状腺疾病诊断的可靠方法。

Objective To study the clinical value of biopsy with fine-needle aspiration in pathological diagnosis of thyroid diseases.Methods Clinical and pathological data of 154 patients underwent fine-needle aspiration of thyroid tissues were analyzed retrospectively.Results The diagnosises of 154 patients were malignant in 2 cases（1.3%）,suspected malignant in 11 cases（7.1%）,benign in 119 cases（77.3%）,and undiagnosed in 22 cases（14.3%）.Of patients with benign diseases,Hashimoto thyroiditis was diagnosed in 41 cases（34.5%） and nodular goiter was dignosed in 24 cases（20.2%）.Conclusion Fine-needle aspiration of the thyroid gland is a reliable method for early diagnosis of thyroid diseases.