| 甲状腺结节细针穿刺细胞学检查63例分析 |
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| 引用本文： | 朱红,曹长春,吴骥,刘从兵,侍孝红.甲状腺结节细针穿刺细胞学检查63例分析[J].吉林医学,2011(19):3869-3871. |
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| 作者姓名： | 朱红 曹长春 吴骥 刘从兵 侍孝红 |
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| 作者单位： | 江苏省南京鼓楼医院集团宿迁市人民医院内分泌科;江苏省南京鼓楼医院集团宿迁市人民医院普外科;江苏省南京鼓楼医院集团宿迁市人民医院超声科;江苏省南京鼓楼医院集团宿迁市人民病理科 |
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| 摘 要： | 目的:评价细针穿刺细胞学检查(FNAC)在甲状腺结节诊断中的作用。方法:对比分析63例甲状腺结节细针穿刺后行手术治疗患者的细胞病理学与组织病理学诊断结果。结果:细针穿刺细胞学结果与术后组织病理学诊断结果比较,诊断总符合率为90.48%(57/63),FNAC判断甲状腺良恶性结节性质的敏感性、特异性和诊断准确率分别为78.95%、95.45%和90.48%。结论:FNAC对甲状腺结节良恶性诊断价值较高,与组织病理学检查总体诊断符合率较好,是一种安全、有效的术前确诊手段。
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| 关 键 词： | 甲状腺结节 诊断 细针穿刺细胞学 组织病理学 |
Fine needle aspiration cytology for thyroid nodules:a report of 63 cases |
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| Institution: | ZHU Hong1,CAO Chang-chun1,WU Ji2,et al(1.Department of Endocrinology,Suqian People′s Hospital of Nanjing Drum-towl Hospital Group,Suqian 223800,China;2.Department of General Surgery,Suqian People′s Hospital of Nanjing Drum-towl Hospital Group,Suqian 223800,China) |
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| Abstract: | Objective To investigate the diagnostic value of fine needle aspiration cytology（FNAC） for thyroid nodules.Method The cytological and histological results of 63 patients who had undergone FNAC for thyroid nodules,followed by thyroidectomy,were compared to evaluate the accuracy of cytological diagnosis of thyroid nodules.Results The total diagnostic accordance rate of fine needle aspiration cytology was 90.48%（57/ 63） compared with that of histopathology.To diagnosis the benign and malignant thyroid nodules,the sensitivity,specificity,and diagnostic accuracy of FNAC were 78.95%,95.45% and 90.48%,respectively.Conclusion The diagnostic value of FNAC is high for benign and malignant thyroid nodules.Most of thyroid nodules have high total diagnostic accordance rate.FNAC is a safe and available method in the diagnosis of thyroid nodules preoperation. |
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| Keywords: | Thyroid nodules Diagnosis Fine needle aspiration cytology Histopathology |
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