超声及弹性成像技术引导甲状腺结节细针穿刺活检的临床研究.docVIP

超声及弹性成像技术引导甲状腺结节细针穿刺活检的临床研究 赵冰玉 大连大学附属中山医院超声科 X 关注成功！ 加关注后您将方便地在 我的关注中得到本文献的被引频次变化的通知！ 新浪微博 腾讯微博 人人网 开心网 豆瓣网 网易微博 摘????要： 目的:分析超声及弹性成像技术引导甲状腺结节细针穿刺活检 (FNA) 的临床价值。方法:选取2016-072017-07我院就诊的120例甲状腺结节患者, 采用奇偶数分组法, 分为超声组与弹性成像组, 每组60例, 分别在超声引导与弹性成像引导下行甲状腺结节FNA, 将其诊断结果与细胞病理学结果相比较, 比较两组的确诊率。结果:相比超声组, 弹性成像引导行甲状腺结节FNA, 明显提高了Bethesda 2类、6类的确诊率 (P0.05) ;而其他类别的确诊率无明显差异 (P0.05) 。结论:超声弹性成像引导行甲状腺结节FNA, 相比常规超声引导方式, 取材成功率、首次活检确诊率明显提高, 值得进一步推广应用。 关键词： 甲状腺结节; 细针穿刺活检; 超声; 弹性成像技术; 作者简介：赵冰玉 (1980—) , 女, 主治医师, E-mail:lijian-ming1963122@163.com 收稿日期：2017-09-14 Clinical value of ultrasonography and elastography on guiding FNA of thyroid nodule ZHAO Bingyu Department of Ultrasound, the Affiliated Zhongshan Hospital of Dalian University; Abstract： Objective:To analyze the clinical value of ultrasound and elastography on guiding fine needle aspiration (FNA) of thyroid nodule.Methods:A total of 120 patients with thyroid nodules admitted from July 2016 to July 2017 were divided into ultrasound and elastography guided group, each group of 60 cases.Two groups were separately given ultrasound or elastography on guiding FNA, the diagnosis results and cellular pathology results were compared, and the differences of diagnosis between two groups were analyzed.Results:Compared with the ultrasound group, the elastography group significantly improved the diagnosis rate of Bethesda 2 and 6 types (P0.05) .Compared with other categories, there was no significant difference in diagnosis rate (P0.05) .Conclusion:Elastography on guiding FNA for patients with thyroid nodules, compared with the conventional mode guided by ultrasound, success rate of materials, first biopsy diagnosis rate are improved obviously, is worth further popularization and application. Keyword： thyroid nodule; fine needle aspiration; ultrasnography; elastography; Received： 2017-09-14 细针穿刺活检 (fine needle aspiration, FNA) 在甲状腺结节疾病中的应用发展有效提高了甲状腺癌的检出率, 但是仍然有部分患者存在FNA取材不足、无法获取细胞病理学结果的情况[1]。有研究指出[2,3], 可依据Bethesda分类系统, 将无法进行诊断或者不