针刺细胞学检查及超声术前评估甲状腺结节良恶性的应用研究

Study on the application of fine needle aspiration cytology and ultrasound in the preoperative evaluation of benign and malignant thyroid nodules

目的探讨甲状腺结节细针穿刺细胞学检查及超声评估系统对术前良恶性甲状腺结节鉴别及诊断价值。方法对我院250例甲状腺结节患者的超声声像图资料,细针穿刺细胞学检查结果及其中同时采用手术病理学检查的41例患者病理学资料进行比较分析。结果与手术病理检查结果相比,细针穿刺细胞学检查结果的符合率为87.8%,诊断甲状腺癌的特异性为92.6%,敏感性为78.6%;超声评估系统诊断符合率为92.7%,诊断甲状腺癌的特异性为96.3%,敏感性为85.7%。与超声评估系统比较,细针穿刺细胞学检查结果诊断符合率为80.4%,诊断甲状腺癌的特异性为90.4%,敏感性为43.4%。结论甲状腺结节细针穿刺细胞学检查及超声评估系统对术前良恶性甲状腺结节的鉴别诊断价值较高,临床上值得应用和推广。

Objective To investigate the differentiation and diagnostic value of thyroid nodule fine needle aspiration cytology and ultrasonography evaluation system in preoperative benign and malignant thyroid nodules.Methods The ultrasonographic data of250patients with thyroid nodules in our hospital were selected,and the results of fine needle aspiration cytology and the pathological data of41patients receiving surgical pathology at the same time were compared and analyzed.Results Compared with the results of surgical pathology,the coincidence rate of the results of fine needle aspiration cytology was87.8%,the specificity of thyroid cancer diagnosis was92.6%,and the sensitivity was78.6%;the diagnosis coincidence rate of ultrasound evaluation system was92.7%,the specificity of thyroid cancer diagnosis was96.3%,and the sensitivity was85.7%.Compared with the ultrasound evaluation system,the coincidence rate of the results of fine needle aspiration cytology was80.4%,the specificity of thyroid cancer diagnosis was90.4%,and the sensitivity was43.4%.Conclusion The thyroid nodule fine needle aspiration cytology and ultrasonography evaluation system are of great value in the differential diagnosis of benign and malignant thyroid nodules,which is worthy of clinical application and popularization.