自身免疫性甲状腺疾病的针吸细胞学诊断探讨  

Discussion of FNBC diagnosis to AITD

作　　者：齐贵胜[1] 任玉波[2] 

机构地区：[1]聊城职业技术学院,山东聊城252000 [2]聊城市人民医院,山东聊城252000

出　　处：《实用医技杂志》2006年第5期670-671,共2页Journal of Practical Medical Techniques

摘　　要：目的:探讨细针活检细胞学(FNAC)检查对自身免疫性甲状腺疾病(AITD)的诊断价值。方法:采用FNAC检查法诊断AITD,细胞学诊断把AITD分为弥漫性毒性甲状腺肿(GD)Ⅰ、Ⅱ、Ⅲ3个亚型和桥本氏甲状腺炎(HT)L、O、P、F4个亚型。结果:1106例甲状腺的FNAC资料中有术后病理诊断为AITD的58例,其中细胞学诊断正确55例(占94.8%),误诊者3例,(占5.2%)。诊断正确的55例中分型基本正确者51例(占92.7%)。结论:FNAC对AITD的诊断准确可靠。其中对GDⅠ、Ⅱ和HTO、P、F的分型诊断准确率较高,GD-Ⅲ与HT-L容易混淆。Objective Discussion the value of FNBC examination to AITD. Methods 1 106 Patients with thyroid dis ences were diagnosed with FNBC examination. 58 AITD of them had post operative pathology. For the need of cytological diagnosis and differential diagnosis, AITD were typed Grave＇s disease（GD）-Ⅰ ,Ⅱ ,Ⅲ and Hashimoto＇s thyroiditis （HT）-L, O,P, F. Results The cytological diagnostic accurate rate of AITD was 94.8 %. the mistaken was 5.2%, 3.6 % of AITD is difficult to distinguish as GD or HT. Conclusions The cytological diagnosis of AITD depended on smears of high quality,and the right type was helpful to the cytological diagnosis and differential diagnosis. GD- Ⅰ ,Ⅱ ,and HT-O, P,F was easy to diagnose,but GD-Ⅲ and HTL to confuse.

关 键 词：自身免疫性甲状腺疾病 弥漫性毒甲状腺肿 细针吸取细胞学 

分 类 号：R581[医药卫生—内分泌]