甲状腺结节细针穿刺检查226例临床病理分析

目的:阐述甲状腺结节的细针穿刺检查方法,分析临床病理结果。方法:以2017年1月~2018年9月本院收治的甲状腺结节患者作为样本,共226例,患者均给予细针穿刺检查,对疾病进行诊断。观察患者的细针穿刺检查结果、结节特点、结节直径。结果:226例患者中,不能诊断者占9.3%(21/226)、良性占47.3%(107/226)、滤泡性病变/未明确意义的不典型增生占6.64%(15/226)、(可疑)滤泡性肿瘤占10.2%(23/226)、可疑为恶性占12.4%(28/226)、恶性占14.2%(32/226)、实性结节占53.1%(120/226)、囊性结节14.2%(32/226)、囊实性结节占32.7%(74/226)、单发结节占32.7%(74/226),多发结节占67.3%(152/226)、<1cm者占22.1%(50/226)、1~2cm者占27.0%(61/226)、2~3cm者占25.7%(58/226)、(4)3~4cm者占23.5%(53/226)、(5)>4cm者占1.8%(4/226)。结论:采用甲状腺结节细针穿刺检查诊断疾病,能够有效明确疾病类型,判断结节性质,为临床对疾病的治疗提供指导。

Clinical and Pathological Analysis of 226 Cases of Thyroid Nodules by Fine Needle Aspiration

Objective: To elaborate the method of fine needle aspiration for thyroid nodules and to analyze the clinical pathological results. Methods: 226 patients with thyroid nodules treated in our hospital from January 2017 to September 2018 were used as samples. All patients were given a fine needle aspiration test to diagnose the disease. Observe the patient’s fine needle aspiration test results, nodule characteristics, and nodule diameter. Results: Of the 226 patients, 9.3%(21/226), benign 47.3%(107/226), follicular lesions, or undefined dysplasia accounted for 6.64%(15/226).(suspicious) follicular tumors accounted for 10.2%(23/226), suspected malignancy accounted for 12.4%(28/226), malignancy accounted for 14.2%(32/226), solid nodules accounted for 53.1%(120/226) The cystic nodules were 14.2%(32/226), the solid nodules accounted for 32.7%(74/226), the single nodules accounted for 32.7%(74/226), and the multiple nodules accounted for 67.3%(152/226).), <1 cm accounted for 22.1%(50/226), 1~2 cm accounted for 27.0%(61/226), 2~3 cm accounted for 25.7%(58/226),(4) 3~4 cm accounted for 23.5%(53/226),(5)>4 cm accounted for 1.8%(4/226). Conclusion: The diagnosis of diseases by fine needle aspiration of thyroid nodules can effectively identify the type of disease, judge the nature of nodules, and provide guidance for clinical treatment of diseases.