摘要
目的:评估超声引导下甲状腺粗针穿刺在甲状腺结节诊断中的价值。方法:回顾分析2016年1月-2019年12月在我科行超声引导下甲状腺粗针穿刺活检(US-CNB)的905例住院患者的临床资料。统计甲状腺结节的CNB的诊断结果,计算CNB诊断不确定比例,诊断甲状腺恶性肿瘤的价值以及并发症发生率。结果:CNB诊断不充分27例(2.98%),滤泡性病变52例(5.75%),良性498例(55.03%),恶性328例(36.24%)。US-CNB诊断不明确率为8.73%。US-CNB诊断甲状腺恶性肿瘤的敏感度、特异度、准确性、假阴性率、假阳性率及并发症发生率分别为92.09%、99.43%、95.75%、7.41%、0.61%和0.88%。结论:超声引导下甲状腺粗针穿刺活检诊断甲状腺结节高效、安全。
Objective To evaluate the value of ultrasound-guided thyroid needle biopsy in the diagnosis of thyroid nodules.Methods The clinical data of 905 inpatients who underwent ultrasound-guided thyroid needle biopsy(US-CNB)in our department from January 2016 to December 2019 were retrospectively analyzed.The results of CNB diagnosis of thyroid nodules were counted,the proportion of uncertain CNB diagnosis,the value of diagnosing thyroid malignancy and the incidence of complications were calculated.Results CNB diagnosis was inadequate in 27 cases(2.98%),follicular lesions in 52 cases(5.75%),benign in 498 cases(55.03%),and malignant in 328 cases(36.24%).The diagnostic uncertainty rate of US-CNB was 8.73%.The sensitivity,specificity,accuracy,false negative rate,false positive rate and complication rate of US-CNB in the diagnosis of thyroid malignant tumors were 92.09%,99.43%,95.75%,7.41%,0.61%and 0.88%respectively.Conclusion Ultrasound-guided thyroid coarse needle biopsy is effective and safe in the diagnosis of thyroid nodules.
作者
张华
姚方辉
梁晓燕
李文仿
ZHANG Hua;YAOFang-hui;LIANG Xiao-yan;LI Wen-fang(Department of General Surgery,Hubei University of Medicine,Shiyan,Hubei 442000,China;Department of Cardiac Surgery,Taihe Hospital,Hubei University of Medicine,Shiyan,Hubei 442000,China)
出处
《湖北医药学院学报》
CAS
2022年第3期274-279,共6页
Journal of Hubei University of Medicine
关键词
甲状腺结节
诊断
超声引导
粗针穿刺活检
细针抽吸
Thyroid nodules
Diagnosis performance
Ultrasound guided
Core needle biopsy
Fine needle aspiration
