【摘要】 目的通过对超声引导下穿刺活检和病理组织学检查与超声诊断结节性甲状腺肿进行对照分析,提高超声诊断结节性甲状腺肿的准确性。方法对49例超声诊断结节性甲状腺肿患者的86个结节行超声引导下细针穿刺,抽取结节组织做病理学检查,将超声诊断与病理检查结果进行比较。结果每个结节抽取组织2～3条,穿刺取材成功率为100%;超声检查结果与组织活检和细胞学病理诊断比较,结节性甲状腺肿病理诊断42例,符合率为85.7%。超声误诊7例,其中病理诊断桥本氏病2例、亚急性甲状腺炎1例、甲状腺乳头状癌2例、甲状腺腺瘤2例,误诊率14.3%。结论超声引导下穿刺病理学结果对结节性甲状腺肿的检查具有很高的诊断价值,准确、可靠、安全、方便,能为临床医生提供可靠的诊断依据。更多还原

【Abstract】 Objective To analyze the efficacy of ultrasound diagnosis and results of ultrasound-guided fine-needle aspiration(US-FNA).Methods US-FNA was performed for 86 thyroid nodes in 49 patients.The diagnostic data obtained from US-FNA were compared with the ultrasound diagnosis.Results Two pieces of tissue were obtained from one nodule and the success ratio were 100%.Among these 86 thyroid nodules, US-FNA showed that 42 nodular goiter and the coincidence rate were 85.7%.7 cases were misdiagnosed(misdiagnosis rate 14.3%),among those were 2 Hashimoto’s disease,1 subacute thyroiditis,2 thyroid papillary carcinoma and 2 thyroid adenoma.Post-puncture bleeding was not observed in all nodules.Conclusion Ultrasound-guided fine-needle aspiration(US-FNA)is accurate and reliable in diagnosing thyroid nodules.The US-FNA results can provide more information to the clinic.更多还原