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目的:探讨超声引导穿刺组织病理学检查在甲状腺结节性病变诊断中的作用。方法:对2004-07-2005-01收治的41例患者进行甲状腺结节行超声引导下穿刺组织病理学检查的与术后大体常规组织病理诊断结果进行比较分析。结果:本组41例行超声引导穿刺组织病理学病例中有22例直接诊断完全正确,占53.7%;对甲状腺结节的良恶性判断方面上,超声引导穿刺组织病理学诊断的准确度达90.2%,灵敏度为71.4%,特异度为100%,阳性预测价值为1,阴性预测价值为0.90,Youden指数为0.714。无明显穿刺并发症。结论:超声引导穿刺组织病理学检查具有很高的术前诊断价值,值得临床应用。
Objective: To investigate the role of ultrasound-guided puncture histopathology in the diagnosis of thyroid nodular lesions. Methods: Thirty-one patients admitted from 2004-07-2005-01 underwent ultrasound guided histopathological examination of the thyroid nodules and compared with the general routine histopathological diagnosis. Results: Twenty-two cases of direct pathological diagnosis of ultrasound-guided puncture in this group were completely correct, accounting for 53.7%. On the benign and malignant thyroid nodules, the diagnostic accuracy of ultrasound-guided puncture was 90.2 %, Sensitivity 71.4%, specificity 100%, positive predictive value 1, negative predictive value 0.90, Youden index 0.714. No obvious puncture complications. Conclusion: Ultrasound guided puncture histopathology has a high preoperative diagnostic value, it is worth clinical application.