超声引导下甲状腺结节细针吸取细胞学检查诊断价值探讨.docVIP

超声引导下甲状腺结节细针吸取细胞学检查诊断价值探讨 　　超声引导下甲状腺结节细针吸取细胞学检查的诊断价值探讨 　　邓 丹 　　永州市中心医院北院头颈肿瘤乳腺外科，湖南永州 425000 　　[摘要] 目的 探讨超声引导下甲状腺结节细针吸取细胞学的临床价值。 方法 选取该院2012年1月―2014年1月收治甲状腺结节患者88例，均给予超声引导下甲状腺结节细针吸取细胞学检查，42例给予手术治疗。观察细针吸取细胞学检查结果及敏感度、特异性、诊断符合率、误诊率。结果 经细针吸取细胞学检查，良性80例，恶性6例，可疑恶性2例，未见涂片不满意。结节性甲状腺肿47（53.41%）例，甲状腺乳头癌4（4.55%）例。42例手术治疗与术后病理对照计算得细针吸取细胞学诊断敏感度为75.00%，特异性为95.00%，诊断符合率为93.18%，误诊率为5.00%。其余46例随访1年间，均未见失访及转恶性变者。 结论 超声引导下细针吸取细胞学检查可有效诊断甲状腺结节，且操作简单。 　　[关键词] 超声引导；甲状腺结节；细针吸取细胞学检查 　　[中图分类号] R58 [文献标识码] A [文章编号] 1674-0742（2015）02（c）-0168-03 　　To Discuss the Ultrasound-guided Fine Needle Aspiration in the Diagnosis of Thyroid Nodule 　　DENG Dan 　　Head and Neck Cancer Breast Surgery ， Northern Courtyard Of Center Hospital，Yongzhou Hunan， 425000，China 　　[Abstract] Objective To evaluate the efficacy of ultrasound-guided fine-needle aspiration（US-FNA）in the diagnosis of thyroid nodules. Methods 88 patients with thyroid nodes of neck surgery and endocrinology department in our hospital from Jan ，2012-Jan，2014 ， they were all given ultrasound-guided fine-needle aspiration（US-FNA）in the diagnosis of thyroid nodules.42 cases were given surgical treatment .observe the results of ultrasound-guided fine-needle aspiration and sensitivity， specificity and diagnostic coincidence rate， the misdiagnosis rate. Results After ultrasound-guided fine-needle aspiration，80 cases of benign ， 6 cases of suspected， 2 cases of fishy， no smear was not satisfied.Benign mainly was thyroid nodules ，47（53.41%） cases，suspected mainly was thyroid papillary carcinoma， 4 cases （4.55%）.42 cases of surgical treatment and postoperative pathology was calculated by the fine-needle aspiration cycology diagnosis sensitivity of 75.00%， specificity of 95.00%. The diagnostic coincidence rate was 93.18%， the misdiagnosis rate was 5.00%.The rest of the 46 cases were followed up for 1 year， lost of follow-up and turn malignant degeneration was not found. Conclusion Ultrasound-guided fine-needle aspiration（US-FNA）in the diagnosis