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超声引导下细针穿刺细胞学检测不同大小可疑甲状腺结节的阳性率及准确率

Ultrasound-guided fine-needle aspiration cytology in the detection of suspicious thyroid cancer nodules with different sizes: positive rate and accuracy

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【作者】 黄启顺梁伟新

【Author】 Huang Qishun;Liang Weixin;Department of surgery, People’s Hospital of Gaoming District,Foshan;

【通讯作者】 梁伟新;

【机构】 佛山市高明区人民医院外一科

【摘要】 目的探讨不同大小可疑甲状腺结节患者选用超声引导下细针穿刺细胞学检测的价值。方法纳入150例疑似甲状腺结节患者研究2019年10月~2020年10月,均在超声引导下实施细针穿刺细胞学检测,根据结节大小将其分为小结节组(4-5mm,60例)、中结节组(6-10mm,50例)、大结节组(>10mm,40例),以病理检查为金标准,分析三组阳性检出率及诊断准确率。结果 (1)阳性检出率:大结节组高于小结节组、中结节组;但中、小结节组阳性检出率对比无差异。(2)准确率:三组对比无差异,P>0.05。结论超声引导下细针穿刺细胞学检测在甲状腺结节鉴别及诊断中可行性较高。

【Abstract】 Objective To explore the value of ultrasound-guided fine needle aspiration cytology in patients with suspicious thyroid cancer nodules of different sizes. Methods A study of 150 patients with suspected thyroid nodules October 2019 to October 2020 were enrolled, all of whom were subjected to fine needle aspiration cytology under ultrasound guidance, and were divided into small nodule groups(4-5 mm, 60 cases) according to their size), middle nodule group(6-10 mm, 50 cases), large nodule group(>10 mm, 40 cases), with pathological examination as the gold standard, the positive detection rate and diagnostic accuracy rate of the three groups were analyzed. Results(1) The positive detection rate: the large nodule group was higher than the small nodule group and the middle nodule group; but there was no difference in the positive detection rate between the middle and small nodule groups.(2) Accuracy rate: There is no difference between the three groups, P>0.05. Conclusion Ultrasound-guided fine needle aspiration cytology is more feasible in the diagnosis of thyroid cancer.

  • 【文献出处】 中国医学文摘(耳鼻咽喉科学) ,Chinese Medical Digest(Otorhinolaryngology) , 编辑部邮箱 ,2021年04期
  • 【分类号】R581
  • 【下载频次】71
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