超声引导下细针穿刺抽吸活检在TI-RADS 4a类甲状腺结节中的应用  

Application of ultrasound-guided fine needle aspiration biopsy for thyroid imaging reporting and data system 4a class thyroid nodules

作　　者：徐倍[1] 钱明平[2] 柴丽[2] 盛春君[1] 

机构地区：[1]同济大学附属第十人民医院内分泌科,上海200072 [2]同济大学附属第十人民医院普外科,上海200072

出　　处：《同济大学学报（医学版）》2015年第2期93-96,101,共5页Journal of Tongji University(Medical Science)

摘　　要：目的研究超声引导下细针穿刺抽吸活检(ultrasound-guided fine needle aspiration biopsy,US-FNAB)对甲状腺超声影像报告和数据系统(TI-RADS)4a类甲状腺结节的临床意义。方法回顾性分析115位患者130个TI-RADS 4a类甲状腺结节的手术结果,将术前甲状腺结节的超声特征、术前穿刺结果分别与术后病理进行比较。结果入院手术的行US-FNAB的TI-RADS 4a类甲状腺结节中,细胞学诊断阳性48个,阴性42个;手术后病理,恶性44个,良性46个,细胞学结果和实际结果比较差异无统计学意义(P>0.05);US-FNAB细胞学诊断TIRADS4a类甲状腺结节的灵敏度、特异度及准确率分别为91.67%、90.48%、91.11%。结论 US-FNAB对TIRADS4a类甲状腺结节有较高的诊断价值,能有效提高术前诊断的准确性。Objective To evaluate the clinic value of ultrasound-guided fine needle aspiration biopsy （US-FNAB） for thyroid imaging reporting and data system （TI-DADS） 4a class thyroid nodules. Methods One hundred and fifteen patients with thyroid nodules underwent preoperative US-FNAB and surgical treatment with total 130 nodules were classified as TI-DADS 4a. The results of TI-RADS and US-FNAB of 130 nodules were compared with the pathological results after operation. Results Among 90 TI-DADS 4a class thyroid nodules, US-FNAB cytology showed malignant in 48 and benign in 42. Postoperative pathological results showed malignant in 44 and benign in 46. The sensitivity, specificity and accuracy of US-FNAB cytological diagnosis of TI-DADS 4a class thyroid nodules were 91.67%, 90. 48% and 91.11% respectively. Conclusion US-FNAB examination is valuable for diagnosis of TI-DADS 4a class thyroid nodules and can effectively improve the accuracy of preoperative diagnosis.

关 键 词：TI-RADS4a类甲状腺结节 细针穿刺抽吸活检 临床研究 

分 类 号：R581.9[医药卫生—内分泌]