甲状腺结节超声评估及细针穿刺病理诊断良恶性的价值对比

Comparison of the Value of Ultrasound Evaluation and Fine Needle Puncture Pathology in Benign and Malignant Thyroid Nodules

目的 探讨超声引导下细针穿刺细胞病理学检查与超声评估对于甲状腺结节良恶性的诊断价值。方法 选取南平市第二医院2021年4月—2022年10月收治的90例甲状腺结节患者作为研究对象,均进行病理检查、常规超声检查以及超声引导下细针穿刺检查,对比超声评估及细针穿刺细胞病理结果,并结合手术组织病理结果分析其诊断结果。结果90例患者中良性结节54例、恶性结节36例,超声引导下甲状腺结节细针穿刺诊断准确率、灵敏度、特异度(92.2%、91.7%、92.6%)显著高于甲状腺超声诊断(68.9%、66.7%、70.4%)(P <0.05)。结论 超声引导下细针穿刺细胞病理学检查相较于甲状腺超声诊断应用价值更高,可以在早期确定甲状腺结节是否为恶性,提高准确度、灵敏度和特异度,值得临床广泛推广应用。

Objective To investigate the diagnostic value of ultrasound-guided fine needle aspiration cytopathological examination and ultrasound assessment for the benign and malignant thyroid nodules.Methods A total of 90 patients with thyroid nodules admitted to Nanping City NO.2 Hospital from April 2021 to October 2022 were selected for the study.All of them underwent pathological examination,conventional ultrasound examination,and ultrasound-guided fine needle aspiration examination to compare the ultrasound evaluation and fineneedle aspiration cytopathological results and analyze their diagnostic results in combination with surgical histopathological results.Results Among the 90 patients,54 had benign nodules and 36 had malignant nodules.The diagnostic accuracy,sensitivity and specificity of ultrasound-guided fine needle aspiration of thyroid nodules were 92.2%,91.7%and 92.6%,which were significantly higher than those of thyroid ultrasound(68.9%,66.7%and 70.4%)(P<0.05).Conclusion Ultrasoundguided fine needle aspiration pathology examination is of higher value compared with thyroid ultrasound diagnosis,and can determine whether a thyroid nodule is malignant at an early stage,improving accuracy,sensitivity and specificity,and is worthy of widespread clinical application.