细针穿刺活检诊断甲状腺结节良恶性的临床价值分析  

Clinical Value of Fine Needle Puncture Biopsy in Diagnosis of Benign and Malignant Thyroid Nodules

作　　者：苏晓萍[1] Su Xiaoping(Department of Functional,Yangzhou Friendship Hospital,Yangzhou 225009,Jiangsu Province,China)

机构地区：[1]扬州友好医院功能科,江苏扬州225009

出　　处：《中外医药研究》2024年第34期153-155,共3页JOURNAL OF CHINESE AND FOREIGN MEDICINE AND PHARMACY RESEARCH

摘　　要：目的:分析细针穿刺活检诊断甲状腺结节良恶性的价值。方法:选取2022年1月—2023年12月扬州友好医院收治的甲状腺结节患者50例为研究对象,均接受彩色多普勒超声检查及超声引导下的细针穿刺活检,以术后组织病理学结果为“金标准”,比较两种检查方法的诊断效能。结果:术后组织病理学结果显示,50例甲状腺结节中检出良性38例、恶性12例。细针穿刺活检诊断甲状腺良恶性的准确度、灵敏度均高于彩色多普勒超声诊断(P<0.05);细针穿刺活检与彩色多普勒超声诊断甲状腺良恶性的特异度比较,无统计学差异(P>0.05)。结论:与彩色多普勒超声检查相比,超声引导下的细针穿刺活检诊断甲状腺结节良恶性的价值更高,值得临床推广应用。Objective:To analyze the value of fine needle puncture biopsy in the diagnosis of benign and malignant thyroid nodules.Methods:Fifty patients with thyroid nodules admitted to Yangzhou Friendship Hospital from January 2022 to December 2023 were selected as the study objects.All of them underwent color Doppler ultrasound and ultrasound-guided fine needle puncture biopsy.The results of histopathology after operation were used as the"gold standard"to compare the diagnostic efficacy of the two methods.Results:The histopathological results showed that 38 of the 50 thyroid nodules were benign and 12 were malignant;the accuracy and sensitivity of fine needle puncture biopsy in the diagnosis of benign and malignant thyroid were higher than that of color Doppler ultrasound(P<0.05);there was no statistical difference between fine needle puncture biopsy and color Doppler ultrasound in the diagnosis of benign and malignant thyroid(P>0.05).Conclusion:Compared with color Doppler ultrasound,ultrasound-guided fine needle puncture biopsy is more valuable in the diagnosis of benign and malignant thyroid nodules,and is worthy of clinical application.

关 键 词：甲状腺结节 彩色多普勒超声 细针穿刺活检 

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]