超声技术联合其他检测手段诊断甲状腺结节的研究进展

Research progress in diagnosis of thyroid nodules by ultrasonography combined with other detection means

超声引导下细针穿刺细胞学检查(US-FNAC)是目前公认的术前鉴别甲状腺结节良恶性的首选方法。由于受到细胞学诊断的局限性等因素的影响,有20%~30%的结节无法得到明确的诊断结果。近年来,国内外文献报道将US-FNAC与其他诊断方法联合,可进一步提高诊断效率。该文就US-FNAC联合基因检测、超声造影及弹性成像诊断甲状腺结节的研究进展进行综述。

Ultrasound-guided fine-needle aspiration cytology(US-FNAC)is currently recognized as the first choice for preoperative differentiation of benign and malignant thyroid nodules.Due to the limitations of cytological diagnosis and other factors,20%to 30%of the nodules cannot be definitively diagnosed.In recent years,the domestic and foreign literature has reported that the combination of US-FNAC with other diagnostic methods can further improve the diagnostic efficiency.This paper reviews the research progress of US-FNAC combined with gene detection,contrast-enhanced ultrasound and elastography in diagnosis of thyroid nodules.