超声引导下细针穿刺辅助诊断甲状腺结节良恶性鉴别诊断中的准确性研究  

Accuracy of Ultrasound-Guided Fine Needle Puncture in Differential Diagnosis of Benign-Malignant Thyroid Nodules

作　　者：邓刚 DENG Gang(The Third People’s Hospital of Yongzhou City,Hunan Province,Hunan Yongzhou 425000)

机构地区：[1]湖南省永州市第三人民医院,湖南永州425000

出　　处：《中国医疗器械信息》2025年第4期117-119,共3页China Medical Device Information

摘　　要：目的:研究超声引导下细针穿刺细胞学检查(Ultrasound-guided fine needle aspiration biopsy,US-FNAB)辅助诊断甲状腺结节良恶性的效果。方法:以2022年10月~2023年12月收治的78例甲状腺结节患者为例,均接受US-FNAB诊断,分析其诊断效能及不同类型甲状腺结节的符合率。结果:以手术病理学结果为金标准,其中良性病变42例、恶性病变36例,而US-FNAB诊断,良性病变43例、恶性病变35例,其敏感度为91.67%、特异性为95.24%、准确率为93.59%。且与金标准比较,US-FNAB诊断的结节性甲状腺肿、甲状腺腺瘤、桥本氏甲状腺炎及甲状腺癌的符合率分别为95.24%、93.75%、100.00%、91.67%。结论:采用US-FNAB诊断可有效鉴别甲状腺结节的良恶性,其敏感度较高,可为医师准确拟定治疗方案提供可靠参考,对患者病情改善有重要意义。Objective:To study the effect of ultrasound-guided fine needle aspiration cytology(Ultrasound-guided fine needle aspiration biopsy,US-FNAB)in the diagnosis of benign and malignant thyroid nodules.Methods:Taking 78 patients with thyroid nodules from October 2022 to December 2023,they all received US-FNAB diagnosis and analyzed their diagnostic efficacy and the coincidence rate of different types of thyroid nodules.Results:Surgical pathology results were taken as the gold standard,including 42 benign lesions,36 malignant lesions,and 43 cases,with sensitivity of 91.67%,specificity of 95.24%and accuracy of 93.59%.Compared with the gold standard,the coincidence rate of nodular goitre,thyroid adenoma,Hashimoto’s thyroiditis and thyroid cancer diagnosed by US-FNAB were 95.24%,93.75%,100.00%and 91.67%.Conclusion:US-FNAB diagnosis can effectively identify benign and malignant thyroid nodules with high sensitivity,which can provide reliable reference for doctors to accurately formulate treatment plan,which is of great significance for the improvement of patients’condition.

关 键 词：超声引导下细针穿刺细胞学检查 甲状腺结节 良恶性鉴别 准确性 

分 类 号：R445[医药卫生—影像医学与核医学]