超声引导下甲状腺结节细针穿刺的临床应用

Clinical application of ultrasound guided fine needle aspiration of thyroid nodules

目的:探讨超声引导下甲状腺细针穿刺细胞学检查的应用价值。方法:对2014年6月—2016年6月92例患者共126个甲状腺结节的临床资料进行回顾分析,对比分析细针穿刺活组织检查结果与手术病理结果,并分析比较两者总的诊断准确率。结果:涂片不满意占3.2%,其中良性诊断准确率为93.9%,恶性结节诊断准确率为83.7%,细针穿刺与病理总的诊断相符率为90.4%,两者总的诊断准确率比较差异无统计学意义(P>0.05)。结论:甲状腺细针穿刺细胞学检查对于术前甲状腺结节性质的诊断准确率较高,可用于患者术前定性诊断,从而指导临床治疗。

Objective： To investigate the clinical value of ultrasound guided fine needle aspiration cytology（ FNAC）.Methods： All 92 cases of thyroid nodules in our hospital from June 2014 to June 2016 were retrospectively analyzed. The results of fine needle aspiration biopsy and surgical pathology were compared and analyzed,and the overall diagnostic accuracy of the126 methods was analyzed,and the overall diagnostic accuracy of the two methods was compared. Results： The unsatisfactory accounted for 3. 2%,the accurate diagnosis of benign malignant nodules diagnosis rate of about 93. 9%,the accuracy rate was83. 7%,the rate of about 90. 4%. Fine needle aspiration diagnosis and pathology of total,compare the overall diagnostic accuracy rate（ P〈0. 05）,no statistical significance. Conclusion： The fine needle aspiration cytology of thyroid for preoperative thyroid nodules diagnosis accuracy rate is high,can be used for preoperative qualitative diagnosis,guiding clinical treatment has certain value.