摘要
目的:探讨超声引导下细针穿刺抽吸活检(US-FNAB)诊断甲状腺结节的准确性。方法:使用Bethesda系统标准对2014—2015年在甘肃省肿瘤医院就诊的240例甲状腺结节患者的穿刺结果进行分类。对照US-FNAB结果与术后组织病理结果,计算US FNAB的敏感性,特异性以及准确性。结果:经超声引导下细针穿刺活检,240个甲状腺结节中,良性86例,恶性69例,可疑恶性21例,涂片不满意7例。术后组织病理结果表明,240个甲状腺结节中,74例病理学结果为恶性,166例病理学结果为良性,220例细针穿刺活检结果与术后病理学结果相符,超声引导下甲状腺结节细针穿刺活检的敏感性为100%,特异性93.37%,准确性95.31%。结论:超声引导下细针穿刺活检对甲状腺结节诊断的可靠性强,能为临床治疗提供可靠依据。
Objective: To explore the accuracy of fine-needle aspiration biopsy in the examination of thyroid nodules guided by ultrasound. Methods: 240 cases had completed US FNAB in the examination of thyroid nodules in Gansu provincial cancer hospital from 2014 to 2015. Results were classified according to Bethesda system stan- dard. Compared the results of US FNAB with pathological results after surgery, sensitivity, specificity and accuracy of US FNAB were calculated. Results: After fine-needle aspiration biopsy guided by ultrasound, 86 benign cases, 69 malignant cases, suspicious malignancy 21 cases, unsatisfaction for smear 7 cases in 240 thyriod nodules. The results of tissue pathological after surgery, 74 cases were malignant, 166 cases were benign, the results of fine-needle aspi- ration biopsy of 220 cases were conformed to pathological results after surgery, sensitivity of fme-needle aspiration biopsy in the examination of thyroid nodules guided by ultrasound was 100.00%, specificity was 93.37%, accuracy was 95.31%. Conclusion: Fine-needle aspiration biopsy in the examination of thyroid nodules guided by ultrasound has high reliability, which can provide reliable basis for clinical doctors.
出处
《西部中医药》
2016年第12期129-131,共3页
Western Journal of Traditional Chinese Medicine
基金
2014年甘肃省卫生行业科研计划管理项目(编号GWGL2014-39)
关键词
甲状腺结节
超声检查
细针穿刺活检
诊断
thyroid nodules
ultrasound examination
fine-needle aspiration biopsy
diagnosis