摘要
目的:探讨超声引导下细针穿刺活检在甲状腺乳头状癌中的诊断价值。方法:选取2021年3月~9月于本院就诊的疑似甲状腺乳头状癌患者45例,入院后均行常规超声检查及超声引导下细针穿刺活检,以病理检查结果为“金标准”,比较常规超声检查与超声引导下细针穿刺活检对甲状腺乳头状癌诊断结果及诊断效能。结果:经病理检查45疑似甲状腺乳头状癌患者中阳性38例,阴性7例;经常规超声检查阳性35例,阴性10例,诊断准确率为84.44%、灵敏度为86.84%、特异度为71.43%、漏诊率13.16%、误诊率28.57%;经超声引导下细针穿刺检查阳性41例,阴性4例,诊断准确率为93.33%、灵敏度为100%、特异度为57.14%、漏诊率0.00%、误诊率42.86%;两组诊断特异度比较无差异(P>0.05);经超声引导下细针穿刺诊断灵敏度高于常规超声,漏诊率低常规超声,差异显著(P<0.05);经超声引导下细针穿刺诊断准确率、误诊率虽高于常规超声,但对比并无统计学差异(P>0.05)。结论:经超声引导下细针穿刺活检在提高甲状腺乳头状癌早期诊断准确率的同时,降低了漏诊率,为临床筛查诊断提供可靠依据,以针对性制定治疗方案。
Objective:To investigate the diagnostic value of ultrasound-guided fine needle puncture biopsy in thyroid papillary carcinoma.Methods:A total of 45 suspected patients with thyroid papillary carcinoma admitted to our hospital from March to September 2021 were selected.After admission,routine ultrasound examination and ultrasound-guided fine needle puncture biopsy were performed.Pathological examination results were taken as the"gold standard"to compare the diagnostic results and diagnostic efficacy of routine ultrasound examination and ultrasound-guided fine needle puncture biopsy for thyroid papillary carcinoma.Results:Among the 45 suspected cases of papillary carcinoma of thyroid,38 cases were positive and 7 cases were negative.35 cases were positive and 10 cases were negative.The diagnostic accuracy was 84.44%,the sensitivity was 86.84%,the specificity was 71.43%,the missed diagnosis rate was 13.16%and the misdiagnosis rate was 28.57%.41 cases were positive and 4 cases were negative.The diagnostic accuracy was 93.33%,the sensitivity was 100%,the specificity was 57.14%,the missed diagnosis rate was 0.00%and the misdiagnosis rate was 42.86%.There were no differences in diagnostic specificity between the two groups(P>0.05).Ultrasound-guided fine needle puncture diagnosis sensitivity was higher than conventional ultrasound,the rate of missed diagnosis was lower than conventional ultrasound,the difference was significant(P<0.05).The diagnostic accuracy and misdiagnosis rate of ultrasoundguided fine needle puncture were higher than those of conventional ultrasound,but there was no statistical difference(P>0.05).Conclusion:Ultrasound-guided fine needle puncture biopsy not only improves the accuracy of early diagnosis of papillary thyroid carcinoma,but also reduces the rate of missed diagnosis,which provides a reliable basis for clinical screening and diagnosis,so as to make targeted treatment plans.
作者
王静
陈刘飞
柳鹏翔
周晓婷
马超
WANG Jing;CHEN Liu-fei;LIU Peng-xiang;ZHOU Xiao-ting;MA Chao(Department of Ultrasound,Xiamen Changgeng Hospital,Fujian Xiamen 361000)
出处
《中国医疗器械信息》
2023年第5期101-103,共3页
China Medical Device Information
关键词
超声
细针穿刺活检
甲状腺乳头状癌
诊断准确率
漏诊率
ultrasound
fine needle biopsy
thyroid papillary carcinoma
diagnostic accuracy
missed diagnosis rate
作者简介
通信作者:马超。
