240例甲状腺肿物细针吸取细胞学诊断分析  

Diagnosis of thyroid tumor with fine needle aspiration cytology:an analysis of 240 cases

作　　者：金玲[1] 狄军艳[1] 杨原[1] 宋福林[1] 迟英凯[1] 孙文利[1] 郭宪生[1] 

机构地区：[1]沈阳军区总医院病理科,沈阳110016

出　　处：《诊断病理学杂志》2008年第3期199-201,共3页Chinese Journal of Diagnostic Pathology

摘　　要：目的探讨甲状腺肿物细针吸取细胞学(FNAC)诊断的价值。方法取术前FNAC结果与术后病理诊断一致的甲状腺肿物240例,对两种诊断结果进行对比。结果本组240例中,男性63例,女性177例,男女之比为1:2.81。年龄20～65岁,平均36岁;病程10天～30年。可触摸到的甲状腺肿物直径1～12cm。FNAC的总准确率为93.44%,敏感性为65.91%,特异性为93.87%,假阳性为0.47%,假阴性为6.82%。结论FNAC检查对甲状腺肿物具有独特的临床价值。Objective To investigate the diagnostic value of fine needle aspiration cytology （FNAC） in the thyroid tumor. Methods The diagnostic results of FNAC were compared with that of histology in 240 cases of thyroid tumor. Results Out of 240 cases, 63 cases were males, and 177 females, whose ratio was 1：2.81. Their age ranged from 20 to 65 years, averaged 36. The course of disease was from 10 days to 30 years. The diameter of thyroid tumor was from 1 to 12 cm. The overall accuracy of FNAC was 93.44%, the sensitivity was 65.91%, the specificity was 93.87%, the pseudo-positive rate was 0.47%, and the pseudo-negative rate was 6.82%. Conclusion FNAC has distinct clinical value in the diagnosis of thyroid tumor.

关 键 词：细针吸取细胞学 甲状腺肿物 诊断分析 

分 类 号：R737.9[医药卫生—肿瘤] R653[医药卫生—临床医学]