摘要
目的:探讨超声引导下细针穿刺抽吸活检(ultrasound-guided fine-needle aspiration biopsy,US-FNAB)在甲状腺微小结节定性诊断中的价值。方法:回顾性分析2014年8月—2017年12月期间于南京医科大学附属南京医院行US-FNAB的患者甲状腺微小结节细胞学检查结果,对照相应的手术后病理学检查及临床随访结果,分析US-FNAB在甲状腺微小结节定性诊断中的价值。结果:US-FNAB细胞学诊断的灵敏度、特异度、准确率、阳性预测值和阴性预测值分别为97.85%(91/93)、88.89%(24/27)、95.83%(115/120)、96.81%(91/94)和92.31%(24/26);穿刺标本不满意率为10.37%(17/164)。结论:US-FNAB在甲状腺微小结节定性诊断中具有较高的诊断价值。
Objective: To investigate the diagnostic value of ultrasound-guided fine-needle aspiration biopsy(US-FNAB) in suspect thyroid micronodules. Methods: The US-FNAB cytological results of the patients with suspected thyroid micronodules in Nanjing First Hospital, Nanjing Medical University during Aug. 2014 and Dec. 2017 were reviewed and compared with surgical pathological results or clinical follow-up results. The qualitative value of US-FNAB in the diagnosis of suspected thyroid micronodules was discussed. Results: The diagnostic sensitivity, specificity, accuracy, positive predictive value and negative predictive value of US-FNAB were 97.85%(91/93), 88.89%(24/27), 95.83%(115/120), 96.81%(91/94), 92.31%(24/26),respectively. The rate of unsatisfactory puncture was 10.37%(17/164). Conclusion: US-FNAB is an effective procedure in the diagnosis of suspected thyroid micronodules.
作者
刘云
陈松旺
LIU Yun;CHEN Songwang(Department of Ultrasound,Nanjing First Hospital,Nanjing Medical University,Nanjing 210006,Jiangsu Province,China)
出处
《肿瘤影像学》
2019年第1期42-45,共4页
Oncoradiology
关键词
超声引导
细针穿刺抽吸
甲状腺微小结节
定性诊断
Ultrasound-guided
Fine-needle aspiration
Thyroid micronodule
Qualitative diagnosis
