| 陈宝玥,修典荣,王行雁,韩樱松,张 颖.B超引导下细针穿刺活检判断甲状腺结节性质的应用价值[J].,2020,(8):1457-1461 |
| B超引导下细针穿刺活检判断甲状腺结节性质的应用价值 |
| Application Value of B-ultrasound-guided Fine-needle Biopsy to Determine the Nature of Thyroid Nodules |
| 投稿时间：2019-12-23 修订日期：2020-01-18 |
| DOI：10.13241/j.cnki.pmb.2020.08.012 |
| 中文关键词: B超 细针穿刺 甲状腺结节 临床诊断 |
| 英文关键词: B ultrasound Fine needle aspiration Thyroid nodule Clinical diagnosis |
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| 中文摘要: |
| 摘要 目的：探讨B超及B超引导下的细针穿刺活检判断甲状腺结节性质的临床应用价值。方法：选取2018年1月~2019年10月我院收治的甲状腺结节患者200例，所有患者均接受B超检查和B超引导下细针穿刺检查，以手术病理结果为金标准，对比两种检查方式的灵敏度、特异度、阳性预测值、阴性预测值和准确率。结果：①200例患者共239个结节，手术病理结果证实良性结节64个，恶性结节175个；②B超引导下细针穿刺检查的灵敏度、特异度、阳性预测值、阴性预测值、准确率明显高于B超检查（P＜0.05）；③B超引导下细针穿刺对不同大小结节的诊断的灵敏度、特异性、阳性预测值、阴性预测值、准确率均优于B超检查（P＜0.05）。结论：B超引导细针穿刺活检判断甲状腺结节性质的应用价值明显优于B超检查。 |
| 英文摘要: |
| ABSTRACT Objective: To explore the clinical value of B-ultrasound and B-ultrasound-guided fine-needle biopsy in the diagnosis of thyroid nodule. Methods: 200 cases of thyroid nodule from January 2018~ October 2019 were collected and all patients were examined by B-ultrasound and B-ultrasound-guided fine needle aspiration, take the surgical pathological results as the gold standard, the sensitivity, specificity, positive predictive value, negative predictive value and accuracy of the two methods were compared. Results: ①There were 239 nodules in 200 patients, 64 of which were benign and 175 of which were malignant; ②The sensitivity, specificity, positive predictive value, negative predictive value and accuracy of fine needle aspiration under the guidance of B-ultrasound were significantly higher than those of B-ultrasound (P<0.05); ③The sensitivity, specificity, positive predictive value, negative predictive value and accuracy of fine needle aspiration under the guidance of B-ultrasound for the diagnosis of nodules of different sizes were all better than that of b-ultrasound (P<0.05). Conclusion: B-ultrasound-guided fine-needle biopsy is an ideal method for the diagnosis of thyroid nodules, which is worth popularizing. |
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