摘要
【目的】探讨细针穿刺细胞学检查对甲状腺结节的临床诊断价值。【方法】选择2002～2006年本科收治的甲状腺结节患者78例，先后予以细针穿刺细胞学检查与切除物组织病理学检查，对检查结果进行统计学分析。【结果】细针穿刺细胞学检查与组织病理学检查结果总符合率为86．0％，对甲状腺乳头状腺瘤、乳头状癌以及滤泡细胞癌，细针穿刺细胞学检查与组织病理学检查诊断符合率较高，依次为92．8％、89．4％、93．7％，与总符合率相比无显著性差异（P〉0．05）；而对甲状腺滤泡性腺瘤，二者诊断符合率较低，仅为72．7％，与总符合率相比差异有显著性（P〈0．05）。【结论】细针穿刺细胞学检查对多数甲状腺结节诊断具有较高的准确性，但对甲状腺滤泡性腺瘤的诊断准确率较低，应结合临床、超声等进行综合分析。
[Objective]To assess the clinical value of fine needle aspiration biopsy in the diagnosis of thyroid nodule. [Methods]A total of 78 cases of thyroid nodule were diagnosed with fine needle aspiration biopsy and the results were compared with those from histopathologic examination. [Results]The total accordance rate of fine needle aspiration biopsy was 86.0% as compared with that of histopathologic examination. The accordance rate of thyroid papillary adenoma, papillary carcinoma and follicular cell carcinoma were 92.8%-0.89. 4% and 93.7 % respectively, and there was no statistical difference in the total accordance rate（ P 〉0.05）. But the thyroid follicular adenoma＇s accordance rate was lower （72. 7 %）, and there was significant difference in the total accordance rate （ P〈0.05）. [Conclusion]The diagnostic accuracy of fine needle aspiration biopsy for most thyroid nodules is high, but not for thyroid follicular adenoma. Therefore it is necessary to combine this method with clinical features and ultrasound techniques in diagnosis.
出处
《医学临床研究》
CAS
2008年第1期5-7,共3页
Journal of Clinical Research
基金
重庆市自然科学基金(06BB5098)
