超声与细针穿刺诊在甲状腺结节诊断中的价值比较

Diagnosis value of ultrasonography and fine needle aspiration for thyroid nodules

目的对比研究超声与细针穿刺对甲状腺结节的诊断价值。方法回顾性对比分析我院193例甲状腺结节的超声及细针穿刺的结果,评估超声及细针穿刺对甲状腺结节诊断的符合率及应用价值。结果 193例甲状腺结节中,超声诊断为甲状腺癌97例(50.3%),良性病变共96例(49.7%);而针穿刺细胞学诊断为甲状腺癌共71例(36.8%),良性病变107例(55.4%),可疑癌变15例(7.8%)。在超声诊断的97例甲状腺癌中,与细针穿刺相符合的为63例(64.9%),不符合的为22例(22.7%),可疑癌变为12例(12.4%),而在超声诊断的96良性病变中,与细针穿刺相符合的为85例(88.5%),不符合的为8例(8.3%),可疑癌变为3例(3.1%),二者之间的差异具有统计学意义(P=0.001)。结论超声与细针穿刺均有助于甲状腺结节的诊断,并具有一定的符合度,其中超声对甲状腺良性病变的诊断明显优于甲状腺癌。

Objective To compare the diagnostic value of ultrasonography and fine needle aspiration in thyroid nodules.Methods A total of 193 patients with thyroid nodules received ultrasound and fine needle aspiration were enrolled and retrospectively analyzed.The coincidence rate and application value of ultrasonography and fine needle aspiration in the diagnosis of thyroid nodules were evaluated.Results In 193 cases of thyroid nodules,97 cases (50.3%) were diagnosed of thyroid carcinoma and 96 cases (49.7%) of benign lesions based on the ultrasonography detection.However,71 cases (36.8%) were diagnosed of thyroid carcinoma,107 cases (55.4%) of benign lesions and 15 cases (7.8%) of suspicious cancer,according to the fine needle aspiration.Among the 97 cases with thyroid cancers diagnosed by ultrasonography,63 cases (64.9%) were matched with fine needle aspiration,22 cases (22.7%) were not met,and 12 cases (12.4%) were suspected.In 96 cases with benign lesions diagnosed by ultrasound,85 cases (88.5%) were consistent with fine needle aspiration,8 cases (8.3%) were not met,3 cases (3.1%) were suspected,and the difference was significant (P=0.001).Conclusion Both ultrasonography and fine needle aspiration are contributed to the diagnosis of thyroid nodules with a certain degree of compliance.However,ultrasound is better in the diagnosis of thyroid benign lesions than in thyroid cancer.