超声引导下粗针穿刺活检在甲状腺可疑恶性结节诊断中的临床应用
投稿时间:2014-05-31  修订日期:2014-06-23  点此下载全文
引用本文:张伟,艾熙,易惠明.超声引导下粗针穿刺活检在甲状腺可疑恶性结节诊断中的临床应用[J].医学研究杂志,2015,44(1):98-101
DOI: 10.3969/j.issn.1673-548X.2015.01.028
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作者单位E-mail
张伟 430030 武汉, 华中科技大学同济医学院附属同济医院超声科  
艾熙 430030 武汉, 华中科技大学同济医学院附属同济医院肝脏外科  
易惠明 430030 武汉, 华中科技大学同济医学院附属同济医院超声科 yihuimingtjh@qq.com 
中文摘要:目的 探讨超声引导下甲状腺结节粗针穿刺活检病理学检查对甲状腺可疑恶性结节诊断的临床应用价值。方法 回顾性分析86例甲状腺可疑恶性结节的超声引导下粗针穿刺活检资料和病理学检查资料。结果 86例甲状腺可疑恶性结节粗针穿刺活检中,81例(94.19%)结节穿刺诊断成功,5例(5.81%)结节穿刺诊断失败。穿刺活检诊断成功的81例甲状腺结节中,53例为恶性结节,最大直径为1.4±1.0cm,28例为良性结节,最大直径为1.8±1.2cm。86例穿刺后均无严重并发症发生。结论 超声引导下甲状腺结节穿刺活检安全、准确,是鉴别甲状腺可疑结节性质的有效手段。
中文关键词:超声  超声引导粗针穿刺活检  甲状腺结节  诊断
 
Ultrasound-Guided Core Needle Biopsy for the Diagnosis of Suspected Malignant Thyroid Nodules
Abstract:Objective To evaluate the clinical value of pathological diagnosis derived from ultrasound-guided core needle biopsy of suspected malignant thyroid nodules. Methods Ultrasound -guided core needle biopsy was performed in a total of 86 patients with suspected malignant thyroid nodules and all ultrasound findings and histological results were respectively reviewed. Results Of 86 suspected malignant thyroid nodules,81(94.19%) nodules were histological diagnosed successfully and 5(5.81%) nodules were histological diagnosed abortively. Among 81 successfully diagnosed thyroid nodules, 53 nodules(max diameter 1.4±1.0cm) were malignant and 28 nodules(max diameter 1.8±1.2cm) were benign. No serious complication occurred during all 86 ultrasound -guided biopsy of thyroid nodules. Conclusion Ultrasound -guided core needle biopsy of thyroid nodules is a safe and accurate differential diagnosis approach for detecting suspected malignant thyroid nodules.
keywords:Ultrasonography  Ultrasound-guided core needle biopsy  Thyroid nodule  Diagnosis
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