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目的分析甲状腺细针穿刺(FNA)细胞学检查对甲状腺疾病的诊断价值。方法回顾性分析60例接受FNA检查的患者的临床资料及病理诊断结果。结果 60例患者中,2例无法诊断,40例良性病变,11例可疑似恶性病变,7例为恶性,总体诊断准确率达96.67%(58/60)。良性病变中,乔本甲状腺炎占80.0%(32/40),其所占比率显著高于其他类型的良性病变(P<0.01)。7例经甲状腺细针穿刺检查诊断为恶性者,均被临床确诊为甲状腺癌,细针穿刺活检对于恶性甲状腺疾病的诊断准确率达100.00%。结论甲状腺细针穿刺病理诊断具有损伤小、诊断率高等优势,值得在甲状腺疾病(特别是恶性肿瘤)的术前诊断中加以应用。
Objective To analyze the diagnostic value of thyroid fine needle aspiration (FNA) cytology for thyroid disease. Methods Retrospective analysis of 60 cases of patients undergoing FNA examination of the clinical data and pathological diagnosis. Results Of the 60 cases, 2 cases could not be diagnosed, 40 cases of benign lesions, 11 cases of suspected malignant lesions, 7 cases of malignant, the overall diagnostic accuracy was 96.67% (58/60). In benign lesions, Qiao-en thyroiditis accounted for 80.0% (32/40), which was significantly higher than other types of benign lesions (P <0.01). Seven cases diagnosed as malignant by fine needle aspiration of thyroid needle were clinically diagnosed as thyroid cancer. The diagnostic accuracy of fine needle aspiration biopsy for malignant thyroid disease was 100.00%. Conclusions Thyroid fine needle aspiration biopsy has the advantages of small injury and high diagnosis rate, which is worth to be applied in the preoperative diagnosis of thyroid diseases (especially malignant tumors).