超声引导下甲状腺结节细针穿刺活检临床应用及质量控制研究

发布时间：2018-05-16 09:46

  本文选题：甲状腺结节 + 活组织检查　； 参考：《中国实用外科杂志》2015年06期

【摘要】：目的探讨提高超声引导下甲状腺结节细针穿刺诊断水平的策略。方法回顾性分析吉林大学中日联谊医院甲状腺外科自2012年5月至2014年10月以超声引导下细针穿刺活检技术诊断甲状腺结节的临床资料,按时间先后分段进行分析、对比研究。结果共穿刺7000例病人(计甲状腺结节7382个),按Bethesda报告系统其中Ⅰ类165个(2.2%),Ⅱ类3202个(43.4%),Ⅲ类621个(8.4%),Ⅳ类无,Ⅴ类734个,Ⅵ类2660个。经手术后病理学检查对照2536个,穿刺活检诊断敏感度为91.4%,特异度为82.7%,假阳性率1.2%。按时间先后每6个月计1组行分组统计,敏感度分别为83.0%、78.0%、89.1%、93.1%、96.3%,特异度分别为59.0%、100.0%、84.6%、91.7%、97.2%。穿刺过程中发生局部小血肿94例,无严重并发症。结论超声引导下甲状腺结节细针穿刺诊断过程中病例筛查、穿刺取材、结果判读等环节的质量控制有利于该技术水平的不断提高。
[Abstract]:Objective to explore the strategy of improving the diagnostic level of fine needle puncture for thyroid nodules under ultrasound guidance. Methods the clinical data of thyroid nodules diagnosed by fine needle biopsy guided by ultrasound from May 2012 to October 2014 were analyzed retrospectively. Results A total of 7000 patients (7382 thyroid nodules) were punctured according to the Bethesda reporting system. According to the Bethesda reporting system, 165 cases of thyroid nodules were classified into two groups: 鈪，

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