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目的对应用彩色多普勒引导下甲状腺结节细针穿刺活检的临床诊断意义进行系统探讨。方法对我院接诊的58例(64个)甲状腺结节患者的临床诊断资料进行回顾分析,对比分析细针穿刺活检结果与手术病理结果、随访结果的符合率,并分析针穿刺活检的特异性及敏感度。结果本组58例患者共有64个甲状腺结节,通过细针穿刺活检细胞学结果:恶性12个,疑似恶性6个,良性38例,滤泡性病变3例,不满意5例;病理组织检查良性结节50例,恶性结节14例;细针穿刺活检的灵敏度为85.7%,特异性为88.0%,符合率为87.5%。结论在甲状腺结节临床诊断中,采取细针穿刺活检具有较高的检出率,主要应用于10mm以下的结节诊断中,具有重要的临床诊断价值。
Objective To evaluate the clinical significance of fine needle aspiration biopsy guided by color Doppler. Methods The clinical diagnostic data of 58 cases (64) of thyroid nodules admitted to our hospital were retrospectively analyzed. The coincidence rates of fine needle biopsy results and surgical pathological results and follow-up results were compared and analyzed, and the specificity of needle biopsy Sex and sensitivity. Results A total of 64 thyroid nodules were obtained from 58 patients. Fine needle aspiration biopsy showed cytological results: 12 malignant, 6 suspected malignant, 38 benign, 3 follicular lesions and 5 unsatisfactory. Pathological examination 50 cases of benign nodules, 14 cases of malignant nodules; fine needle aspiration biopsy sensitivity was 85.7%, specificity was 88.0%, the coincidence rate was 87.5%. Conclusion In the clinical diagnosis of thyroid nodules, fine needle aspiration biopsy has a high detection rate, which is mainly used in the diagnosis of nodules under 10mm, which has important clinical diagnostic value.