超声引导下细针穿刺抽吸活检对甲状腺床病灶的应用价值  

Application of ultrasound-guided fine needle aspiration biopsy for thyroid bed lesions

作　　者：周伟[1] 倪晓枫[1] 詹维伟[1] 刘振华[1] 胡赟赟[1] 

机构地区：[1]上海交通大学医学院附属瑞金医院超声科,上海200025

出　　处：《中国介入影像与治疗学》2016年第5期272-275,共4页Chinese Journal of Interventional Imaging and Therapy

基　　金：国家临床重点专科建设项目

摘　　要：目的探讨超声引导下细针穿刺抽吸活检(US-FNAB)对甲状腺癌术后甲状腺床新生病灶的临床应用价值。方法回顾性分析于我院接受US-FNAB的63例次甲状腺癌患者术后新生甲状腺床病灶,分别评估病灶大小及超声引导下细针穿刺细胞学结果,并与手术病理结果及临床随访结果进行对照分析。结果 63例次患者的69个病灶中,细胞学结果满意60个,诊断为恶性38个,可疑恶性4个,良性18个;细胞学结果不满意9个。与最终临床诊断结果对照,USFNAB诊断甲状腺床病灶的敏感度为97.62%(41/42)、特异度为94.44%(17/18)、阳性预测值为97.62%(41/42)、阴性预测值为94.44%(17/18)、准确率为96.67%(58/60)。结论 US-FNAB对甲状腺癌术后甲状腺床新生病灶具有较高的诊断价值。Objective To assess the value of ultrasound-guided fine needle aspiration biopsy（US-FNAB）for thyroid bed lesions in thyroid carcinomas patients after thyroidectomy.Methods A total of 63 patients with 69 thyroid bed lesions was analyzed retrospectively,including the maximum diameter of the lesions and cytopathological findings.These cytopathological diagnostic data were compared with surgical pathological results and clinical follow-up results.Results Of 69 thyroid bed lesions,38 lesions was classified as malignant,4lesions was suspicious for a malignancy,18 lesions was benign,and 9lesions was inadequate.Compared with surgical pathological and clinical follow-up results,the accuracy,sensitivity,specificity,positive predictive value and negative predictive value of US-FNAB for thyroid bed lesions was 96.67%（58/60）,97.62%（41/42）,94.44%（17/18）,97.62%（41/42）and 94.44%（17/18）,respectively.Conclusion US-FNAB is an effective diagnostic procedure for newly thyroid bed lesions after thyroidectomy.

关 键 词：超声检查 活组织检查 细针吸 甲状腺癌 甲状腺床 

分 类 号：R445.1[医药卫生—影像医学与核医学] R736.1[医药卫生—诊断学]