何德奇,时立新,唐鲲,任婷
HE Deqi,SHI Lixin,TANG Kun,REN Ting

• 1:贵州医科大学内科教研室
• 2:贵阳医学院
• 3:贵州医科大学附院内分泌与代谢科
• 4:贵州医科大学附院病案室

摘要(Abstract)：

目的:评价细针穿刺活组织病理学检查(FANB)对甲状腺结节(TN)诊断价值。方法:收集术前行FANB检查、术后行病理学检查的住院治疗TN患者资料191例,以术后病理结果为标准评价术前FANB诊断TN的敏感性、特异性、准确性。结果:FANB诊断为取材不满意13例、良性147例、不确定4例、可疑恶性20例、恶性7例;与术后病理结果比较,术前FANB诊断甲状腺结节敏感性、特异性、准确性、符合率分别为80.76%、96.05%、93.82%及93.82%。结论:术前FANB对甲状腺结节良恶性诊断具有较高价值。
Objective: Evaluating the diagnosis value of fine needle aspiration biopsy histopathology test on thyroid nodule. Methods: Collecting data of 191 patients diagnosed with thyroid nodule who were performed FNAB before running histopathology test,post-surgery pathological result served as standard to analyze and evaluate sensitiveness,distinctness and accuracy of pre-surgery FNAB diagnosis. Results: Diagnosis results of FNAB were as follows: 13 cases of unsatisfactory tissue cutting,147 cases of benign thyroid nodule,4 cases of uncertain cases,20 cases of suspicious for malignancy and 7cases of malignancy; pre-FNAB diagnosis sensitiveness,distinctness,accuracy and coincidence rate on thyroid nodule were 80. 76% 、96. 05% 、93. 82% 、93. 82% respectively. Conclusion: Fine needle aspiration biopsy before surgery holds better value in the diagnosis of benign or malignant tumor in the thyroid nodule.

关键词(KeyWords)： 甲状腺结节;细针穿刺抽吸活检;穿刺术;诊断;病理学
thyroid nodule;fine-needle aspiration biopsy;punctures;diagnosis;pathology

Abstract:

Keywords:

基金项目(Foundation):

作者(Author): 何德奇,时立新,唐鲲,任婷
HE Deqi,SHI Lixin,TANG Kun,REN Ting

DOI: 10.19367/j.cnki.1000-2707.2016.02.025

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