甲状腺结节的组织病理学与细胞学对比研究  

The Comparative Study of the Histopathology and Cytology of Thyroid Nodules

作　　者：赵洋[1] 廖子龙[1] 郑爱萍[1] 

机构地区：[1]北京大学深圳医院,广东深圳518036

出　　处：《河北医学》2011年第8期997-999,共3页Hebei Medicine

摘　　要：目的:对比组织病理学与细胞学在甲状腺结节诊断中的价值。方法:对我院2006年至2009年间收治的甲状腺结节患者进行回顾性分析,研究患者的组织病理学与细胞病理学诊断结果,判断细胞病理学诊断结果的准确性,对漏诊或误诊的原因进行分析。统计学采用SPSS18.0软件进行一致性检验。结果:细胞病理学诊断恶性病变或良性病变与组织病理学符合率分别为83.3%和71.4%。细胞病理学和组织病理学在对桥本甲状腺炎、结节性甲状腺肿、乳头状癌以及甲状腺瘤等病症方面均有较高的符合率,但在滤泡性肿瘤的检验上,细胞病理诊断与组织病理诊断的符合率仅为60.0%。具有统计学意义(P<0.01)。结论:采用细针穿刺法对甲状腺结节组织进行病理检验虽然有一定的局限性,但该方法在对恶性病变及良性病变的判断上有较高的准确率,诊断价值十分重要。thyroid nodules.Method：We retrospectively reviewed the patients with thyroid nodules in our hospital between 2006-2009,studied the diagnosis results of the histopathology and cytology with patients,judged the accuracy of cytopathology diagnosis,analyzed the cause of missed diagnosis or misdiagnosis.Statistical consistency test software used SPSS18.0.Result：Pathological diagnosis rate of malignant cells or benign lesions and histopathological lesions were 83.3% and 71.4%.Cytopathology and histopathology in the hashimoto thyroiditis,nodular goiter,papillary carcinoma of thyroid tumors and other disease areas had a higher compliance rate,However,the testing of follicular tumors and cell pathology consistent with the pathological diagnosis rate was only 60.0%.There’s statistically significant（P 〈0.01）.Conclusion：Although there are certain limitations of using fine needle aspiration for thyroid nodules organizations pathology,There’s higher diagnosis rate for malignant lesions and benign lesions.

关 键 词：甲状腺结节 组织病理学 细胞学 

分 类 号：R581[医药卫生—内分泌]