超声引导下细针穿刺对老年患者甲状腺结节的诊断价值  

Diagnostic value of ultrasound-guided fine needle aspiration in elderly patients with thyroid nodules

作　　者：朱澄妍 邱君斓[1] 沈祎[1] 蒋智明[1] 张炜炜[1] 

机构地区：[1]南京大学医学院附属鼓楼医院外科超声室,江苏省南京市210008

出　　处：《实用老年医学》2016年第6期487-489,共3页Practical Geriatrics

摘　　要：目的探讨超声引导下细针穿刺（fine needle aspiration,FNA）在老年甲状腺结节患者诊断中的价值。方法 2015年1月至2015年6月对40例老年甲状腺结节患者（直径0.6-1.3 cm）行超声引导下FNA检查,以手术病理为标准,评估FNA的准确性以及敏感性。结果所有患者均未发生出血、紧邻脏器及神经损伤等并发症。FNA细胞学诊断敏感性为91.67%,特异性为81.25%,FNA细胞学检查与组织病理学检查结果总体诊断符合率为87.50%。结论超声引导下FNA活检老年患者甲状腺结节是一种安全准确的检查方法。Objective To investigate the application value of ultrasound-guided fine needle aspiration（ FNA） in the diagnosis of thyroid nodule in the elderly. Methods A total of 40 elderly patients with thyroid nodules（ diameter,0. 6-1. 3 cm） experienced ultrasound-guided FNA cytology detection from January to June 2015. The sensitivity and specificity was determined by the reference standards of surgical pathology. Results No complications such as heamorrhage or injury of adjacent organs or nerves occurred.With the diagnosis of histopathology as standard,the sensitivity,specificity of FNA were 91. 67%, 81. 25%. The total diagnostic accordance rate of FNA biopsy was 87. 50% compared with that of histopathology. Conclusions Ultrasound-guided FNA is safe and accurate for diagnosing thyroid nodules in elderly patients.

关 键 词：超声引导 细针穿刺 甲状腺结节 老年患者 

分 类 号：R581.3[医药卫生—内分泌]