超声引导下细针穿刺活检诊断甲状腺结节的研究进展  

Research Progress of Ultrasound-guided Fine-needle Aspiration Cytology in the Diagnosis of Thyroid Nodules

作　　者：康毅敏 KANG Yimin(Fujian University of Traditional Chinese Medicine,Fuzhou 350122,China)

机构地区：[1]福建中医药大学,福建福州350122

出　　处：《中外医学研究》2025年第10期171-173,共3页CHINESE AND FOREIGN MEDICAL RESEARCH

摘　　要：超声引导下细针穿刺活检(US-FNAC)是临床上鉴别甲状腺结节良恶性最常用的诊断方法之一,其细胞学检查结果也是目前临床诊断的金标准。该操作包含了超声引导下甲状腺结节位置准确判断、穿刺路径选择、穿刺针选择、穿刺手法及细胞学检查等多个步骤,每个步骤合理且准确的操作对诊断结果均有一定的影响,这也导致了该检查存在部分局限性。对US-FNAC适当的认知能让该技术在临床上的应用有更好的发展,提高甲状腺结节良恶性诊断的准确率。本文从US-FNAC在甲状腺结节中的应用现状、局限性进行综述,以期为临床提供有力的理论指导。Ultrasound-guided fine-needle aspiration cytology(US-FNAC)is one of the most commonly used diagnostic methods for differentiating benign and malignant thyroid nodules in clinical practice,and its cytological examination results are also the gold standard for clinical diagnosis.The procedure includes many steps,such as accurate judgment of thyroid nodule location under ultrasound guidance,selection of puncture path,selection of puncture needle,puncture technique and cytology examination,reasonable and accurate operation of each step has a certain impact on the result of diagnosis,which also leads to some limitations of examination.Proper understanding of US-FNAC can make the clinical application of this technique better develop and improve the accuracy of benign and malignant diagnosis of thyroid nodules.This article reviews the application status and limitations of US-FNAC in thyroid nodules,in order to provide strong theoretical guidance for clinical practice.

关 键 词：超声引导下细针穿刺 细胞学检查 甲状腺结节 

分 类 号：R445.1[医药卫生—影像医学与核医学]