超声引导下甲状腺结节负压与非负压细针穿刺的诊断效果比较  

Comparison of the Diagnostic Effects of Ultrasound-Guided Thyroid Nodule Negative Pressure and Non-Negative Pressure Fine Needle Aspiration

作　　者：刘建州 黄雅萍 张新鹏[1] 孙心平[1] LIU Jianzhou;HUANG Yaping;ZHANG Xinpeng;SUN Xinping(Department of Ultrasound,Beijing Chuiyangliu Hospital,Beijing 100021,China)

机构地区：[1]北京市垂杨柳医院超声科,北京100021

出　　处：《中国医疗设备》2022年第7期99-102,共4页China Medical Devices

摘　　要：目的探讨超声引导下甲状腺结节负压与非负压细针穿刺的诊断效果及病理样本质量。方法选取2018年3月至2021年9月我院收治的甲状腺结节患者85例作为研究对象,行超声引导下甲状腺结节负压细针穿刺检查及超声引导下甲状腺结节非负压细针穿刺检查,记录检查结果。将组织病理学检测结果作为诊断金标准,比较超声引导下甲状腺结节负压与非负压细针穿刺的诊断效果,比较指标包括敏感度、特异度、阳性预测值、阴性预测值及诊断符合率;同时比较两种检测方法获得的病理样本质量,比较指标为涂片满意率。结果超声引导下甲状腺结节负压与非负压细针穿刺的诊断结果均与组织病理学检测结果相近,两者比较差异不显著(P>0.05),但超声引导下甲状腺结节负压细针穿刺获得的病理样本质量更高,其涂片满意率大于非负压细针穿刺,两者比较差异显著(P<0.05)。结论超声引导下甲状腺结节负压与非负压细针穿刺的诊断效果无明显差别,但前者的病理样本质量、涂片满意率更高,在临床应用中具有一定的优势。Objective To investigate the diagnostic effects and the pathological sample quality of ultrasound-guided thyroid nodule negative pressure(negative pressure group)and non-negative pressure fine needle aspiration(non-negative pressure group).Methods A total of 85 cases of thyroid nodules patients admitted to our hospital from March 2018 to September 2021 were selected as the research subjects.Then ultrasound-guided thyroid nodule negative pressure and non-negative pressure fine needle aspiration were performed and the examine results were recorded.The results of histopathological test were used as golden diagnostic criteria,and the diagnostic effects of negative pressure group and non-negative pressure group were compared.The comparison indicators included sensitivity,specificity,positive predictive value,negative predictive value and diagnostic coincidence rate.At the same time,the pathological sample quality of the two groups were compared according to the smear satisfaction.Results There was no significant difference between the negative pressure group and non-negative pressure group(P>0.05).However,the pathological samples quality of negative pressure group was higher than that of non-negative pressure group,as well as the smear satisfaction rate(P<0.05).Conclusion There is no significant difference between the diagnostic effect of ultrasound-guided thyroid nodule negative pressure and non-negative pressure fine needle aspiration,but the former has better pathological samples quality and a higher smear satisfaction rate.Therefore,it may have certain advantages in clinical application.

关 键 词：超声引导 负压细针穿刺 非负压细针穿刺 甲状腺结节 涂片满意率 

分 类 号：R445.1[医药卫生—影像医学与核医学]