超聲引導(dǎo)下細(xì)針穿刺抽吸活檢診斷甲狀腺結(jié)節(jié).pdf

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1、中國(guó)介入影像與治療學(xué)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(dǎo)下細(xì)針穿刺抽吸活檢診斷甲狀腺結(jié)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(xué)醫(yī)學(xué)院附屬瑞金醫(yī)院超聲科，上海200025)[摘要]目的探討超聲引導(dǎo)下細(xì)針穿刺抽吸活檢(US-FNAB)對(duì)不同大小甲狀腺結(jié)節(jié)的診斷價(jià)值。方法回顧分析在我院接受US-FNAB檢查的689例患者736個(gè)甲狀腺結(jié)節(jié)，超聲測(cè)量結(jié)節(jié)最大徑，并將其分為<5mm、5～10mm、>10mm組；對(duì)結(jié)節(jié)US-FNAB細(xì)胞學(xué)診斷結(jié)果與術(shù)后病理結(jié)果或隨訪結(jié)果進(jìn)行比較，分析組間差異。結(jié)果736個(gè)結(jié)節(jié)中，細(xì)胞學(xué)診斷惡性132個(gè)，可疑惡性61個(gè)，良性476個(gè)，不滿意44個(gè)，不確定23個(gè)。經(jīng)術(shù)后病理或臨床隨訪，惡性結(jié)節(jié)208個(gè)，良性結(jié)節(jié)

8、528個(gè)。惡性結(jié)節(jié)最大徑小于良性結(jié)節(jié)(P10mm組(P均