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1、中國介入影像與治療學2013年第1O卷第8期ChinJIntervImagingTher，2013，Vol10，No8Ultrasoundguidedfine-needleaspirationbiopsyindiagnosisofthyroidnodulesNIXiao—feng，ZHANWei—wei，SONGLin—lin，HUYun—yun，YAOJie-jie，ZHOUWei(DepartmentofUltrasound，RuijinHospital，ShanghaiJiaoTongUniversitySchoolofMedicine，S
2、hanghai200025，China)[-Abstract]0bjectiveToobservethevalueofultrasound—guidedfine-needleaspirationbiopsy(US-FNAB)indifferentialdiagnosisofthyroidnoduleswithdifferentsizes．MethodsDatawerecollectedfrom689consecutivepatientswith736thy—roidnoduleswhounderwentthyroidUS-FNAB．Themaxi
3、mumsizeofnodulewasmeasuredbyultrasound，andthenoduleswereclassifiedas5mm，5—1Ommand>10mmgroups．Theresultsofcytologicdiagnosiswerecomparedwiththepathologicalandclinicalfollow-upfindings，andthedifferencesfornoduleswithdifferentsizewereanalyzed．ResultsA—mong736thyroidnodulesdiagno
4、sedbycytology，132weremalignant，61weresuspiciousformalignancy，476werebe—nign，44wereunsatisfactory，and23wereundetermined．Actuallytherewere208malignantand528benignnodulescon—firmedbypathologicalandclinicalfollow-upresults．Themalignantnodulesweresmallerinsizethanthebenignones(P<0
5、．001)．Cytologicpositiverateandactuallymalignantrateofthenodulesin5—1OmmgroupwerehigherthanthoseintheothertWOgroups．Cytologycouldefficientlydistinguishmalignantfrombenignthyroidnodules，anditssensitivity，speci—ficityandaccuracywas87．02(181／208)，97．73(516／528)and94．70(697／736)，r
6、espectively．Therewasnodifferenceofdiagnosticvaluebetweenthethreegroups(P>O．05)．ConclusionUS-FNABisusefulfordiagnosingthyroidnodules，andhassimilardiagnosticvaluefornoduleswithdifferentsizes．[Keywords]Biopsy，fine-needle；Thyroidnodule；u1trasonography超聲引導下細針穿刺抽吸活檢診斷甲狀腺結節(jié)倪曉楓，詹維偉，宋
7、琳琳，胡贅贅，姚潔潔，周偉(Az海交通大學醫(yī)學院附屬瑞金醫(yī)院超聲科，上海200025)[摘要]目的探討超聲引導下細針穿刺抽吸活檢(US-FNAB)對不同大小甲狀腺結節(jié)的診斷價值。方法回顧分析在我院接受US-FNAB檢查的689例患者736個甲狀腺結節(jié)，超聲測量結節(jié)最大徑，并將其分為<5mm、5～10mm、>10mm組；對結節(jié)US-FNAB細胞學診斷結果與術后病理結果或隨訪結果進行比較，分析組間差異。結果736個結節(jié)中，細胞學診斷惡性132個，可疑惡性61個，良性476個，不滿意44個，不確定23個。經(jīng)術后病理或臨床隨訪，惡性結節(jié)208個，良性結節(jié)
8、528個。惡性結節(jié)最大徑小于良性結節(jié)(P10mm組(P均
