甲状腺结节60例细针抽吸细胞学与病理检查的对照分析  

Comparative Study of Fine Needle Aspiration Cytology and Pathological Biopsy in 60 Cases With Thyroid Nodules

作　　者：杨素兰[1] 贺冶冰[1] 袁刚[1] 蔡仕林[1] 

机构地区：[1]华中科技大学同济医学院附属同济医院

出　　处：《内科急危重症杂志》2004年第2期89-90,共2页Journal of Critical Care In Internal Medicine

摘　　要：目的 :探讨细针抽吸细胞学检查对甲状腺结节性质的诊断价值。方法 :对 6 0例甲状腺结节患者均行细针抽吸细胞学检查 ,而后行手术治疗及病理检查 ,并将两种方法进行对照分析。结果 :6 0例甲状腺结节中 ,细针抽吸结果 :良性 86 .7% ,恶性 13.3% ;手术病理结果 :良性 81.7% ,恶性 18.3%。二者相对照 ,诊断符合者 5 5例 ,诊断符合率为 91.7% ,不符合者 5例 ,其中 3例甲状腺恶性肿瘤误为良性病变。结论Objective:To explore the diagnostic value of fine needle aspiration cytology (FNAC) for thyroid nodules. Methods: Sixty patients with thyroid nodules underwent FNAC and followed by operations and pathological examinations. Cytological and pathological findings were compared. Results: Among 60 cases with thyroid nodules, results of FNAC: 86.7% of them were benign, 13.3% were malignant. Results of operation and pathological examinations: 81.7% were benign, 18.3% were malignant. Fifty-five cases ( 91.7%) were coincided with biopsy while 5 cases were not, among them 3 throid malignancies were misdiagnosed as benign thyroid nodules. Conclusion: FNAC is valuable for diagnosis of thyroid nodules.

关 键 词：甲状腺结节 细针抽吸细胞学 病理检查 诊断符合率 

分 类 号：R581[医药卫生—内分泌]