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目的对比细针抽吸细胞学与粗针穿刺组织学检查,探讨其对甲状腺结节性质的诊断意义及其临床应用价值。方法选取我院64例甲状腺结节患者行细针抽吸细胞学与粗针穿刺组织学检查,以术后病理为金标准,对比研究64例甲状腺结节患者细胞学、组织病理学结果与术后病理结果。结果细针抽吸细胞学检查结果的准确率为84.4%;粗针穿刺组织学检查结果的准确率为90.6%;细针抽吸细胞学检查结果与粗针穿刺组织学检查结果经配对χ2检验,P=0.125>0.05,无统计学意义,细针抽吸细胞学与粗针穿刺组织学检查无显著性差异。结论细针抽吸细胞学与粗针穿刺组织学检查在诊断甲状腺结节性质方面均具有较高的准确性,但粗针穿刺组织学检查在临床实践中应用更为广泛。
Objective To compare the fine needle aspiration cytology and the thick needle aspiration histology to investigate the diagnostic significance of thyroid nodules and its clinical value. Methods Totally 64 cases of thyroid nodules in our hospital underwent fine needle aspiration cytology and gross needle aspiration biopsy. The histopathological features of the thyroid nodules were compared with 64 cases of thyroid nodules. The results of histopathology and histopathology Post-pathological results. Results The accuracy of fine needle aspiration cytology was 84.4%. The precision of the results of needle aspiration biopsy was 90.6%. The results of fine needle aspiration cytology and the results of coarse needle aspiration biopsy were paired withχ2 test , P = 0.125> 0.05, no statistical significance, fine needle aspiration cytology and gross needle aspiration histology no significant difference. Conclusion Fine needle aspiration cytology and gross needle aspiration biopsy have high accuracy in the diagnosis of thyroid nodules, but the histological examination of the needle aspiration needle is more widely used in clinical practice.