超声引导细针穿刺鉴别甲状腺结节良恶性的价值分析

Value Analysis of Ultrasound-Guided Fine Needle Aspiration in Differentiating Benign and Malignant Thyroid Nodules

目的:探讨甲状腺结节患者应用超声引导细针穿刺(US-FNAC)检查的价值。方法:选取2021年1月—2022年12月东台市中医院收治的50例甲状腺结节患者作为研究对象,均接受超声检查、US-FNAC检查、病理检查,以病理检查结果为“金标准”,比较超声检查、US-FNAC检查诊断甲状腺结节良恶性的效能。结果:超声检查、US-FNAC检查诊断甲状腺结节良恶性的灵敏度比较,差异无统计学意义(P>0.05);US-FNAC检查诊断甲状腺结节良恶性的特异度、准确度高于超声检查,差异有统计学意义(P<0.05)。结论:US-FNAC检查鉴别甲状腺结节良恶性的特异度、准确度较高,值得临床应用。

Objective:To investigate the value of ultrasound-guided fine needle aspiration cytology(US-FNAC)in patients with thyroid nodules.Methods:A total of 50 patients with thyroid nodules admitted to Dongtai Hospital of Traditional Chinese Medicine from January 2021 to December 2022 were selected as the study subjects.All patients underwent ultrasonography,US-FNAC examination and pathology examination.The pathology examination results were used as the“gold standard”to compare the efficacy of ultrasonography and US-FNAC examination in the diagnosis of benign and malignant thyroid nodules.Results:There was no significant difference in the sensitivity of ultrasonography and US-FNAC examination in the diagnosis of benign and malignant thyroid nodules(P>0.05).The specificity and accuracy of US-FNAC examination in the diagnosis of benign and malignant thyroid nodules were higher than those of ultrasonography,and the difference was statistically significant(P<0.05).Conclusion:US-FNAC examination has high specificity and accuracy in differentiating benign and malignant thyroid nodules,which is worthy of clinical application.