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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