超声联合超声引导下活检对结节性甲状腺肿块的诊断价值

Ultrasound guided biopsy under the value in diagnosis of nodular goiter

目的：探讨研究应用超声联合超声引导下活检用于诊断结节性甲状腺肿块的临床意义与价值。方法选取该院内分泌科2013年1月—2014年1月收治的结节性甲状腺肿块患者100例。对所有患者进行超声联合超声引导下活检。将穿刺结果与手术后结果进行比较。结果所有患者中无阳性病例，且其病理学结果与术后石蜡病理学结果基本相符。甲状腺结节≤0.05 cm时超声联合超声引导下活检准确率为100%（2/2），结节大小在0.5～1 cm时，活检准确率为97.6%（42/43），结节大小在1～2 cm时，活检准确率为97.5%（40/41）（P＞0.05）。提示直径在0.5~2 cm患者其穿刺病理结果符合率最高。结论超声联合超声引导下进行活检穿刺结节性甲状腺肿块诊断价值较高。该方式操作简便，安全性高且治疗后并发症发生率低。活检取材成功率较高，可有效提高对结节性甲状腺肿块的术前诊断率，同时可避免肿瘤漏诊、误诊现象的发生，如能早发现早施治，还能避免出现对良性结节的过度治疗。

Objective To discuss the application of ultrasound guided biopsy for clinical significance and value in the diagnosis of thyroid nodular lesions. Methods 100 cases of our hospital department of Endocrinology nodular goiter patients. All the patients underwent ultrasound guided biopsy. The biopsy results and operation results are compared. Results all the patients the pathology results and postoperative pathologic result and no positive cases. The accurate rate of puncture pathology results were 100% （2/2）, 95.2% （40/42）, 92.7 （38/41） and 93.3% （14/15）. Tip diameter in 0.5~2 cm patients the biopsy results conform to the highest rate. Conclusion ultrasound guided biopsy of thyroid nodular masses diagnosis value. The method has simple and convenient operation, high safety and low incidence of complications after treatment. Biopsy success rate is high, can be effective in nodular goiter pa-tients to improve the rate of diagnosis before. At the same time, can avoid the occurrence of tumor misdiagnosis phenomenon, so early detection of disease and treatment, can prevent excessive operation for the treatment of benign nodules.