细针穿刺细胞学检查在甲状腺癌诊断中的应用研究  

To Application Research of Fine Needle Aspiration Cytology in Thyroid Cancer Early Diagnosis

作　　者：李小民[1] 黄作良[1] 

机构地区：[1]湖南省邵阳医学高等专科学校附属医院检验科,湖南邵阳422000

出　　处：《中国医药指南》2015年第8期1-1,3,共2页Guide of China Medicine

基　　金：邵阳市科技计划项目(2013ZD09)

摘　　要：目的评价针刺细胞学检查(FNAC)在甲状腺癌术前诊断中的作用。方法回顾分析60例甲状腺结节手术患者的术前细针穿刺细胞学检查和术后组织病理学检查的诊断结果。结果术前细针穿刺细胞学检查诊断良、恶性病例数分别为44例和16例,术后组织病理学检查结果良、恶性病例数分别为43例和17例,二者差异无统计学意义(χ2=0.04,P=0.84);细针穿刺诊断甲状腺结节性质的敏感度为82.35%(14/17)、特异度为95.35%(41/43)、诊断符合率为91.67%[(41+14)/60]。结论 FNAC对甲状腺癌术前诊断价值高,是一种安全有效的术前诊断手段,值得临床推广应用。Objective To evaluation the value of before the operation diagnosis of fine needle aspiration cytology in thyroid cancer.Methods To retrospective analysis the diagnosis results of before the operation of ifne needle aspiration cytology and after the operation of histopathological examination for thyroid nodules operation patients for 60 cases.Results Before the operation benign malignant the number of cases each were 44 cases and 16 cases of ifne needle aspiration cytology, after the operation, benign malignant the number of cases each were 43 cases and 17 cases of histopathological examination, no statistically signiifcant difference between the two groups（χ^2=0.04,P=0.84）; ifne needle aspiration cytology diagnosis thyroid nodules sensitivity was 82.35%（14/17）, speciifcity was 95.35%（41/43）, diagnosis accordance rate was 91.67%[（41＋14）/60].Conclusion FNAC to thyroid cancer diagnosis high value, it is a new approach to security, preoperative diagnosis method, and worthy of clinical application.

关 键 词：甲状腺肿瘤 针穿刺细胞学检查 组织病理学检查 

分 类 号：R736.1[医药卫生—肿瘤]