超声引导针吸穿刺细胞学检查对甲状腺结节的临床诊断价值  

Clinical Value of Ultrasound-guided Fine Needle Aspiration Biopsy Cytology in Diagnosis of Thyroid Nodules

作　　者：赵馥蕾 

机构地区：[1]聊城市第三人民医院彩超室,山东聊城252000

出　　处：《中国医疗设备》2013年第6期165-167,共3页China Medical Devices

摘　　要：目的探讨超声引导针吸穿刺细胞学检查对甲状腺结节诊断的临床价值。方法对258例经高分辨超声检查有囊性或实性结节的患者，在超声引导下对病变部位反复提取20～30次标本进行涂片，通过病理诊断判断良性或恶性。并通过金标准检验（手术切除后病理）诊断符合率。结果其诊断符合率为66．7％，特异性为90．1％，准确率为89．2％，阳性预测值为81．1％，阴性预测值为93．9％。结论超声引导针吸穿刺细胞学检查对鉴别甲状腺良性、恶性肿瘤的准确率高，值得临床推广。Objective To assess the clinical value of fine needle aspiration biopsy in diagnosis of thyroid nodules. Methods Specimens were collected 20 to 30 times under the guidance of ultrasound from the lesion areas of 258 cases of patients who were examined with the high-resolution ultrasound and identified to have cystic or solid nodules. Those specimens were made into smears so as to determine the lesions were benign or malignant according to the pathologic diagnosis and verify the diagnostic accordance rate through the gold standard test（surgery and pathology）. Results The diagnostic accordance rate, specificity rate and accuracy rate were 66.7%, 90.1% and 89.2% respectively. Positive and negative prediction values were 81.1% and 93.3% severally. Conclusion Fine needle aspiration biopsy under the guidance of ultrasound was a diagnostic method with high accuracy in identification of benign or malignant thyroid tumors, which deserved a wide application in the clinical field.

关 键 词：超声引导 针吸穿刺细胞学检查 甲状腺结节 甲状腺癌 

分 类 号：R445.1[医药卫生—影像医学与核医学] R446.8[医药卫生—诊断学]