超声引导下甲状腺结节粗针穿刺活检用于诊断甲状腺疾病临床研究

Ultrasound-guided Thyroid Nodule Core-needle Biopsy in the Diagnosis of Thyroiddisease

目的探讨超声引导下甲状腺结节粗针穿刺活检在诊断甲状腺疾病方面的临床效果。方法本研究采用回顾性分析总结的方法,搜集2013年5月至2015年3月在我院进行超声引导下甲状腺结节粗针穿刺活检的88例甲状腺疾病疑似患者的临床诊断资料,以及该88例患者的组织及细胞学诊断资料。结果研究病例穿刺活检的总成功率为97.56%,确诊率为95.00%;其中22例(25.00%)患者为甲状腺乳头状癌患者,2例(2.27%)甲状腺髓样癌患者,32例(36.36%)结节性甲状腺肿患者,18例(20.45%)甲状腺囊肿患者,14例(15.91%)桥本氏甲状腺炎患者。该诊断结果中的23例甲状腺癌以及2例甲状腺瘤(22例甲状腺乳头状癌以及2例甲状腺髓样癌)穿刺活检病理结果与患者术后诊断结果完全相同,诊断结果符合率为100.00%。结论超声引导下甲状腺结节粗针穿刺活检诊断甲状腺疾病临床疗效确切、并发症发生率低、成功率高,具有很好地临床推广价值。

Objective To discuss the effect of ultrasound-guided core-needle biopsy for the diagnosis of thyroid disease in patients with thyroid nodule. Methods A retrospective study was conducted to analyze the clinical diagnostic data of 88 suspected patients of thyroid disease underwent thyroid nodule core-needle biopsy guided by ultrasound at Chengdu 363 Hospital from May2013 to March 2015,and their histology and cytology data were also reviewed. Results 97. 56% of the patients completed the core-needle biopsy successfully,and the diagnosis rate was 95%. 22 patients were diagnosed with papillary thyroid cancer,2 patients with medullary thyroid carcinoma,32 patients with nodular goiter,18 patients with thyroid cyst,14 patients with Hashimoto＇s thyroiditis. The results of core-needle biopsy pathology in 22 cases of papillary thyroid carcinoma and 2 cases of medullary thyroid carcinoma were consistent with the postoperative pathology. The accuracy of ultrasound-guided core-needle thyroid nodule biopsy for diagnosis of thyroid malignant carcinoma is 100%. Conclusion Ultrasound-guided core-needle biopsy is effective with low complication rate and high success rate in the diagnosis of thyroid disease.