摘要
目的探讨超声引导下甲状腺细针穿刺活检在甲状腺疾病诊治中的临床效果。方法回顾分析杭州市萧山区第一人民医院2014年1月至2017年4月300例超声引导下甲状腺细针穿刺细胞的临床病理资料,并比较研究其中15例同意并实施手术治疗患者的组织病理结果。结果病理学诊断为疑似恶性病变、甲状腺炎、甲状腺囊性变、甲状腺良性腺瘤、有阳性细胞成分诊断占比率分别为7.67%、20.00%、12.67%、1.33%、46.67%。总体阳性细胞率为88.33%。超声引导下甲状腺细针穿刺活检对于恶性疾病诊断的敏感性为50.00%(3/6),特异性为55.56%(5/9),阳性预测值为42.86%(3/7),阴性预测值为62.50%(5/8),假阳性率为57.14%,假阴性率为37.50%。结论超声引导下的甲状腺细针穿刺活检技术,在甲状腺疾病诊治中的临床应用上有着不可替代的重要地位,该技术具备高准确性和安全性,值得推广和使用。
Objective To investigate the clinical effect of ultrasound-guided fine needle aspiration in the diagnosis and treatment of thyroid diseases.Methods A retrospective analysis was conducted in 300 cases who received ultrasound-guided thyroid fine needles from January 2014 to April 2017 in the First People's Hospital of Xiaoshan District.The clinicopathological data of the puncture cells were compared with the histopathological results of 15 patients who agreed to undergo surgery.Results The results of pathologically diagnosed as suspected malignant lesions,thyroiditis,cystic thyroid cysts,benign thyroid adenomas,the proportion of positive cell components were 7.67%,20.00%,12.67%,1.33%and 46.67%,respectively.The overall positive cell rate was 88.33%.The sensitivity of US-FNAB for the diagnosis of malignant diseases was 50.00%(3/6),the specificity was 55.56%(5/9),the positive predictive value was 42.86%(3/7),and the negative predictive value was 62.50%(5/8),the false positive rate was 57.14%,and the false negative rate was 37.50%.Conclusion Ultrasound-guided thyroid fine needle aspiration technology has an irreplaceable importance in the clinical diagnosis and treatment of thyroid disease.Because of its high accuracy and safety,which is worthy of promoting in medicine.
作者
陆佳佳
瞿翔
陈斌
戚夏近
Lu Jiajia;Qu Xiang;Chen Bin;Qi Xiajin(Department of Ultrasound,the First People's Hospital of Xiaoshan District,Hangzhou,Zhejiang 311201,China)
出处
《中国基层医药》
CAS
2020年第18期2261-2263,共3页
Chinese Journal of Primary Medicine and Pharmacy
关键词
甲状腺疾病
内镜超声引导细针穿刺
活组织检查
针吸
敏感性与特异性
诊断
Thyroid diseases
Endoscopic ultrasound-guided fine needle aspiration
Biopsy,needle
Sensitivity and specificity
Diagnosis
