针吸细胞病理学在甲状腺结节诊断中的应用  

Application of Fine Needle Aspiration in Cytological (FNAC) Diagnosis of Thyroid Node

作　　者：白合尼莎.阿不都热西提 房新志[1] 温晓菊[1] 钱英 李景英[1] 

机构地区：[1]新疆医科大学附属肿瘤医院,乌鲁木齐830011 [2]新疆奎屯中医医院,新疆奎屯833200

出　　处：《地方病通报》2007年第6期13-15,共3页Endemic Diseases Bulletin

摘　　要：目的对甲状腺结节细针穿刺活检细胞学诊断与术后组织病理诊断结果进行对照以求得诊断经验。方法采用细针吸取取材,巴氏染色、形态学观察和诊断。在115例甲状腺结节针吸病例中,对经组织学证实的50例病例行细胞学与组织学对照研究。结果组织学诊断40例结节性甲状腺肿,其中有32例被细胞学诊断,敏感度为80%。结论细胞学是诊断甲状腺结节较为理想的方法之一,但在区别个别类型的腺瘤与结节性甲状腺肿及高分化滤泡状腺癌与腺瘤时仍有一定困难,必须结合临床,经过大量实践经验方可诊断。Objective To carry out the comparison between cytological result of thyroid node and histological result for improving fine needle aspiration cytology （ FNAC ） diagnose level. Methods Obtained by fine needle aspiration, the samples were stained with Pap, observed on cellular morphology and diagnosed. Results Out of 40 cases with thyroid nodular goiter, 32 cases were diagnosed by FNAC with sensitivity of 80%. Conclusions FNAC is a better way to diagnose thyroid node, but there still are some difficulties to differentiate some kinds of adenoma and nodular goiter, fine differentiated follicular adenocareinoma and adenoma. So before making FNAC diagnose, it should get enough clinical information and increase cytologist＇s practical experience to draw a final conclusion.

关 键 词：甲状腺结节 细胞学检查 组织学 对照 

分 类 号：R737.33[医药卫生—肿瘤] R446[医药卫生—临床医学]