超声引导下细针穿刺细胞学检查应用于小病灶甲状腺结节诊断的价值

Value of Ultrasound-guided Fine-needle Aspiration Biopsy in the Diagnosis of Small Focal Thyroid Nodules

目的分析超声引导下细针穿刺细胞学检查应用于小病灶甲状腺结节诊断的价值。方法 2014年1月—2018年5月于该院收治的小病灶甲状腺结节患者中选取176例,所有患者均行超声检查与超声引导下细针穿刺细胞学检查,诊断金标准为手术病理检查结果及随访结果,对比两种诊断方式在小病灶甲状腺结节诊断中的应用价值。结果超声引导下细针穿刺细胞学检查诊断灵敏度、特异度、准确度分别为91.67%(44/48)、95.31%(122/128)、94.32%(166/176),均高于超声检查的75.00%(36/48)、71.88%(92/128)、72.73%(128/176),差异有统计学意义(P<0.05)。结论超声引导下细针穿刺细胞学检查应用于小病灶甲状腺结节诊断的价值显著,可广泛推广。

Objective To analyze the value of ultrasound-guided fine-needle aspiration biopsy in the diagnosis of small focal thyroid nodules.Methods 176 cases of patients with small focal thyroid nodules admitted and treated in our hospital from January 2014 to May 2018 were selected,and all patients underwent the ultrasound examination and ultrasound-guided fine-needle aspiration biopsy,and the golden standards were the operative pathological examination Results and follow-up results,and the application value was compared between the two groups.Results The sensitivity,specificity and accuracy of ultrasound-guided fine-needle aspiration biopsy in the diagnosis of Small focal thyroid nodules were higher than those of ultrasound examination[91.67%(44/48),95.31%(122/128),94.32%(166/176)vs 75.00%(36/48),71.88%(92/128),72.73%(128/176)],and the differences were statistically significant(P<0.05).Conclusion The value of ultrasound-guided fine-needle aspiration biopsy in the diagnosis of small focal thyroid nodules is more obvious,which can be widely promoted.