超声引导下粗针穿刺活检对甲状腺TI-RADS 4a类结节良恶性的鉴别诊断价值  

Diagnosis value of ultrasound-guided core-needle aspiration biopsy in differential benign and malignant thyroid TI-RADS 4a nodules

作　　者：张晓光[1] 卢学峰[1] 喻红霞[1] Zhang Xiaoguang;Lu Xuefeng;Yu Hongxia(Department of Ultrasound,The Second Affiliated Hospital of Zhengzhou University,Zhengzhou 450014,China)

机构地区：[1]郑州大学第二附属医院超声科,郑州450014

出　　处：《河南外科学杂志》2024年第2期12-14,共3页Henan Journal of Surgery

摘　　要：目的探讨超声引导下粗针穿刺活检(US-CNAB)对甲状腺TI-RADS 4a类结节良恶性的鉴别诊断价值。方法选取2021-02—2023-01于郑州大学第二附属医院行US-CNAB的119例共142个甲状腺TI-RADS 4a类结节患者,以术后常规病理检查为“金标准”,评价US-CNAB鉴别诊断甲状腺TI-RADS 4a类结节良恶性的效能,统计并发症发生率。结果US-CNAB结果与术后常规病理结果的差异无统计学意义(P>0.05)。以术后常规病理检查为“金标准”,US-CNAB鉴别诊断甲状腺TI-RADS 4a类结节良恶性的准确度、灵敏度、特异度、阳性预测值、阴性预测值分别为98.15%、88.24%、95.78%、96.36%93.75%。US-CNAB后出现声音嘶哑1例,血肿6例,并发症发生率为5.88%。结论US-CNAB对鉴别甲状腺TI-RADS 4a类结节的良恶性具有较高的诊断价值。Objective To investigate the value of ultrasound-guided core-needle aspiration biopsy(US-CNAB)in the differential diagnosis of benign and malignant thyroid TI-RADS 4a nodules.Methods A total of 142 patients with thyroid TI-RADS 4a nodules who underwent US-NAB in the Second Affiliated Hospital of Zhengzhou University from Feb.2021 to Jan.2023 were enrolled to evaluate the efficacy of US-CNAB in the differential diagnosis of benign and malignant thyroid TI-RADS 4a nodules with routine postoperative pathological examination as the"gold standard",and the incidence of complications was statistically calculated.Results There was no significant difference between the results of US-CNAB and the routine pathological results after surgery(P>0.05).The accuracy,sensitivity,specificity,positive predictive value,and negative predictive value of US-CNAB in the differential diagnosis of benign and malignant thyroid TI-RADS 4a nodules were 98.15%,88.24%,95.78%,96.36%,and 93.75%,respectively.After US-CNAB,there was hoarseness and hematoma in 1 case,and the complication rate was 5.88%.Conclusion US-CNAB has a high diagnostic value in differentiat benign and malignant thyroid TI-RADS 4a nodules.

关 键 词：超声引导 粗针穿刺活检 甲状腺TI-RADS 4a结节 

分 类 号：R445.1[医药卫生—影像医学与核医学]