本文選題：甲狀腺結(jié)節(jié) + 活組織檢查�。� 參考：《中國實用外科雜志》2015年06期

【摘要】：目的探討提高超聲引導(dǎo)下甲狀腺結(jié)節(jié)細(xì)針穿刺診斷水平的策略。方法回顧性分析吉林大學(xué)中日聯(lián)誼醫(yī)院甲狀腺外科自2012年5月至2014年10月以超聲引導(dǎo)下細(xì)針穿刺活檢技術(shù)診斷甲狀腺結(jié)節(jié)的臨床資料,按時間先后分段進(jìn)行分析、對比研究。結(jié)果共穿刺7000例病人(計甲狀腺結(jié)節(jié)7382個),按Bethesda報告系統(tǒng)其中Ⅰ類165個(2.2%),Ⅱ類3202個(43.4%),Ⅲ類621個(8.4%),Ⅳ類無,Ⅴ類734個,Ⅵ類2660個。經(jīng)手術(shù)后病理學(xué)檢查對照2536個,穿刺活檢診斷敏感度為91.4%,特異度為82.7%,假陽性率1.2%。按時間先后每6個月計1組行分組統(tǒng)計,敏感度分別為83.0%、78.0%、89.1%、93.1%、96.3%,特異度分別為59.0%、100.0%、84.6%、91.7%、97.2%。穿刺過程中發(fā)生局部小血腫94例,無嚴(yán)重并發(fā)癥。結(jié)論超聲引導(dǎo)下甲狀腺結(jié)節(jié)細(xì)針穿刺診斷過程中病例篩查、穿刺取材、結(jié)果判讀等環(huán)節(jié)的質(zhì)量控制有利于該技術(shù)水平的不斷提高。
[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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