摘要
目的探讨超声引导下甲状腺结节细针穿刺活检(US-FNAB)对甲状腺结节性质的诊断价值,以期为临床早期诊断、针对性制定干预方案提供参考。方法回顾性选取124例我院2019年6月至2023年6月就诊的甲状腺结节患者,入院后均行US-FNAB、超声弹性成像检查,以手术或病理诊断结果为“金标准”,比较超声弹性成像检查及US-FNAB对甲状腺结节单独、联合诊断结果及诊断效能。结果经手术或病理诊断结果显示,124例甲状腺结节中,恶性41例,良性83例;经超声弹性成像诊断结果显示,恶性结节28例,良性结节96例;经US-FNAB诊断结果显示,恶性结节30例,良性结节94例;经US-FNAB联合超声弹性成像诊断结果显示,恶性结节40例,良性结节84例;US-FNAB联合超声弹性成像对甲状腺结节诊断灵敏度为92.7%、准确度为96.0%,高于单独超声弹性成像检查(灵敏度为63.4%、准确度为86.3%)及US-FNAB检查(灵敏度为70.7%、准确度为89.5%),漏诊率为7.3%,低于超声弹性成像检查的36.6%及US-FNAB检查的29.3%(P<0.05)。结论USFNAB对于甲状腺结节性质具有较高诊断价值,临床可通过其联合超声弹性成像早期评估甲状腺结节性质,以针对性制定治疗方案,改善预后。
Objective To evaluate the value of ultrasound-guided fine needle puncture biopsy(US-FNAB)in the diagnosis of thyroid nodules,to provide a reference for early diagnosis and targeted intervention.Methods A total of 124 patients with thyroid nodules treated in our hospital from June 2019 to June 2023 were retrospectively selected,and US-FNAB and ultrasound elastography were performed after admission.With surgical or pathological diagnosis results as the"gold standard",the diagnostic results and diagnostic efficacy of ultrasonography and US-FNAB for thyroid nodules were compared.Results Among 124 cases of thyroid nodules,41 cases were malignant and 83 cases were benign.The results of ultrasonic elastic imaging showed 28 malignant nodules and 96 benign nodules.The USFNAB diagnosis showed that there were 30 malignant nodules and 94 benign ones.US-FNAB combined ultrasonography showed that 40 cases were malignant and 84 were benign.The sensitivity and accuracy of US-FNAB combined ultrasonography for the diagnosis of thyroid nodules were 92.7%and 96.0%,which was higher than that of ultrasonography alone(63.4%and 86.3%)and US-FNAB examination(70.7%and 89.5%),the missed diagnosis rate was 7.3%,which was lower than that of 36.6%and 29.3%of US-FNAB(P<0.05).Conclusion US-FNAB has a high diagnostic value for thyroid nodule properties.It can be used to evaluate thyroid nodule properties early through its combination with ultrasound elastography,so as to make targeted treatment plans and improve prognosis.
作者
李超丽
Li Chaoli(Department of Ultrasound Diagnosis,Pingdingshan Traditional Chinese Medcine Hospital,Henan 467002,China)
出处
《实用医学影像杂志》
2024年第6期430-433,共4页
Journal of Practical Medical Imaging
关键词
甲状腺结节
超声
活组织检查
细针弹性成像技术
Thyroid nodules
Ultrasound
Biopsg,fine-needle
Elasticity imaging technigues
