[1]夏国兵,张爱兵,吴 萍,等.粗针活检组织学与细针穿刺细胞学诊断甲状腺恶性结节的比较研究 [J].介入放射学杂志,2019,28(03):284-287.
 XIA Guobing,ZHANG Aibing,WU Ping,et al.Core- needle biopsy histology vs fine needle aspiration cytology for the diagnosis of malignant thyroid nodules: a comparative study[J].journal interventional radiology,2019,28(03):284-287.
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粗针活检组织学与细针穿刺细胞学诊断甲状腺恶性结节的比较研究



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《介入放射学杂志》[ISSN:1008-794X/CN:31-1796/R]

卷:
28
期数:
2019年03期
页码:
284-287
栏目:
临床研究
出版日期:
2019-03-25

文章信息/Info

Title:
Core- needle biopsy histology vs fine needle aspiration cytology for the diagnosis of malignant thyroid nodules: a comparative study
作者:
夏国兵 张爱兵 吴 萍 沈井伍 胡春洪
Author(s):
XIA Guobing ZHANG Aibing WU Ping SHEN Jingwu HU Chunhong.
Department of Ultrasonic Medicine, Affiliated Gaoyou Hospital, Suzhou University, Gaoyou, Jiangsu Province 225600, China
关键词:
【关键词】 甲状腺结节 活组织检查 超声检查
文献标志码:
A
摘要:
【摘要】 目的 回顾性分析比较超声引导下粗针活检组织学(CNB)及细针穿刺细胞学(FNA)诊断甲状腺恶性结节的临床应用价值。方法 选取甲状腺结节患者134例共137个结节(恶性93例,良性44例),超声引导下每个结节先后运用22 G细针及18 G粗针穿刺取材,与手术病理及临床随访结果对照分析,比较FNA、CNB及CNB/FNA取材成功率及诊断甲状腺恶性结节的准确性、灵敏度及特异度。结果本组病例FNA,CNB和FNA/CNB穿刺取材成功率分别为89.1%、97.8%及100%,诊断甲状腺恶性结节准确性分别为79.6%、91.9%及96.4%,灵敏度分别为81.7%、94.6%及97.8%,特异度分别为75.0%、86.4%及93.2%。CNB及FNA/CNB的取材成功率明显高于FNA(P<0.01),诊断甲状腺恶性结节的准确性及灵敏度均明显高于FNA(P<0.01)。结论 CNB诊断甲状腺恶性结节准确、安全可靠,可以作为FNA的补充或者替代技术在临床推广应用。

参考文献/References:

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备注/Memo

备注/Memo:
(收稿日期:2018-04-08)
(本文编辑:俞瑞纲)
更新日期/Last Update: 2019-03-20