摘要
目的分析超声引导下加负压细针穿刺术(FNAC)对甲状腺可疑恶性结节患者的临床诊疗价值。方法选取2014年8月至2017年8月我院收治的甲状腺可疑恶性结节患者86例,随机分为两组各43例。观察组行超声引导下FNAC检测,对照组行超声引导下非负压细针穿刺(FNNAC)检测,观察对比两组患者的细胞学检测分类情况和诊断效能。结果观察组有明确意义诊断比例为58.14%,高于对照组的44.19%(P <0.05);观察组不明确意义诊断比例为34.88%,低于对照组的46.51%(P <0.05)。观察组的诊断特异性、敏感性、阴性预测值、阳性预测值、准确性分别为90.25%、 96.71%、 97.19%、 91.25%、 93.28%,与对照组的95.52%、 100.00%、 100.00%、 94.26%、 95.52%比较差异均无统计学意义(P>0.05)。结论 FNAC和FNNAC在甲状腺结节良恶性鉴别中的诊断效能无明显差异。在超声显示结节为粗钙化与少血流时, FNAC的诊断效能优于FNNAC。
Objective To analyze the clinical value of ultrasound-guided fine needle aspiration cytology(FNAC) in the diagnosis and treatment of patients with suspected malignant thyroid nodules. Methods 86 cases of patients suspected malignant thyroid nodules in our hospital from August 2014 to August 2017 were randomly divided into two groups, with 43 cases in each group. The observation group received ultrasound-guided FNAC, while the control group received ultrasound-guided fine needle non-aspiration cytology(FNNAC). The classification of cytological examination and diagnostic efficiency of the two groups were compared. Results The definite diagnosis rate of the observation group was 58.14%, higher than 44.19% of the control group(P<0.05);The ambiguous diagnosis rate of the observation group was 34.88%, lower than 46.51% of the control group(P<0.05). The diagnostic specificity, sensitivity, negative predictive value,positive predictive value and accuracy of the observation group were respectively 90.25%, 96.71%, 97.19%, 91.25% and 93.28%, which had no statistical differences with 95.52%, 100.00%, 100.00%, 94.26% and 95.52% of the control group(P >0.05). Conclusions FNAC and FNNAC have no significant difference in the diagnostic efficiency of differentiation on benign and malignant thyroid nodules. FNAC has better diagnostic efficiency than FNNAC when the ultrasound showes the thyroid nodules with coarser calcification and low blood flow.
作者
曾惠明
陈旭豪
严立君
ZETVG Huiming;CHEN Xiihs;YAN Lijuri(Department of Gastrointestinal and Thyroid Surgery, Huizhou First People's Hospital, Huizhou 516008, China)
出处
《临床医学工程》
2019年第5期585-586,共2页
Clinical Medicine & Engineering
关键词
甲状腺可疑恶性结节
加负压细针穿刺术
超声引导
细胞学
Suspected malignant thyroid nodules
Fine needle aspiration cytology
Ultrasound guiding
Cytology
作者简介
曾惠明(1986-),男,本科学历,主治医师,主要从事胃肠、甲状腺疾病研究.
