甲状腺微小癌超声引导下甲状腺细针穿刺细胞学检查的应用  

Application of Ultrasound-guided Fine Needle Aspiration Cytology of Thyroid Microcarcinoma

作　　者：刘金煌 陈晖[2] 王甘露[1] 鲁红霞 柳玉红[3] LIU Jinhuang;CHEN Hui;WANG Ganlu;LU Hongxia;LIU Yuhong(Department of General Surgery,Bao'an District People's Hospital of Shenzhen,Shenzhen,Guangdong Province,518100 China;Department of Ultrasound,Bao'an District People's Hospital of Shenzhen,Shenzhen,Guangdong Province,518100 China;Department of Pathology,Bao'an District People's Hospital of Shenzhen,Shenzhen,Guangdong Province,518100 China)

机构地区：[1]广东省深圳市宝安区人民医院普通外科,广东深圳518100 [2]广东省深圳市宝安区人民医院超声科,广东深圳518100 [3]广东省深圳市宝安区人民医院病理科,广东深圳518100

出　　处：《中外医疗》2021年第17期32-34,共3页China & Foreign Medical Treatment

摘　　要：目的探究甲状腺微小癌超声引导下甲状腺细针穿刺细胞学检查的应用。方法随机选取2019年6月—2020年3月来该院就诊的100例甲状腺结节患者,采用随机分配原则将其分为研究组(n=50)与对照组(n=50),其中对照组采用甲状腺细针穿刺细胞学检查,研究组在使用实施超声引导下甲状腺细针穿刺细胞学检查,检测并比较两组之间的患者的检测率、住院天数、住院费用情况。结果研究组的甲状腺肿瘤检测率(96.00%)大于对照组(80.00%),差异有统计学意义(χ^(2)=6.061,P=0.014);细胞学检测结果显示,研究组共56个甲状腺结节,其中恶性为31个;可疑恶性10个;良性6个;不典型滤泡性病变7个;无效样本2个。经甲状腺细针穿刺细胞学检查结果及病理学检查比较结果显示,超声引导下甲状腺细针穿刺细胞学检查对甲状腺微小癌的诊断价值的敏感度为97.56%,特异度为86.67%。结论甲状腺微小癌超声引导下甲状腺细针穿刺细胞学检查可以提高甲状腺微小癌诊断的准确性;甲状腺微小癌超声引导下甲状腺细针穿刺细胞学检查有利于缩短术后康复时间、减少医疗负担。Objective To explore the application of ultrasound-guided fine-needle aspiration cytology of thyroid microcarcinoma.Methods A total of 100 patients with thyroid nodules who came to the hospital from June 2019 to March 2020 were random selected and divided into a study group(n=50)and a control group(n=50)according to the principle of random allocation.The control group used thyroid fine-needle aspiration cytology,the research group used ultrasound-guided thyroid fine-needle aspiration cytology to detect and compare the detection rate,hospitalization days,and hospitalization costs of patients between the two groups.Results The detection rate of thyroid tumors in the study group was 96.00%,which was greater than 80.00%in the control group,the difference was statistically significant(χ^(2)=6.061,P=0.014);the results of cytology showed that there were 56 thyroid nodules in the study group,of which 31 were malignant;suspicious of malignancy 10;6 benign;7 atypical follicular lesions;2 invalid samples.The results of thyroid fine-needle aspiration cytology and pathological examination showed that the sensitivity of ultrasound-guided thyroid fine-needle aspiration cytology for the diagnostic value of thyroid microcarcinoma was 97.56%,and the specificity was 86.67%.Conclusion Ultrasound-guided thyroid fine-needle aspiration cytology can improve the accuracy of diagnosis of thyroid microcarcinoma.Ultrasound-guided thyroid fine-needle aspiration cytology can help shorten the postoperative recovery time and reduce the medical burden.

关 键 词：超声 甲状腺结节 甲状腺微小癌 细胞学检查 

分 类 号：R445.1[医药卫生—影像医学与核医学] R581[医药卫生—诊断学]