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目的探讨超声引导下细针穿刺细胞学检查(UGFNAB)在甲状腺结节诊断中的临床意义。方法分析2014年5月至2015年12月期间136例由我院内分泌科医师完成超声引导下甲状腺细针穿刺患者的细胞学检查结果。结果甲状腺结节高发年龄为40-70岁,136例甲状腺结节超声引导下细针穿刺未诊断8例,良性病变116例,非典型病变6例,可疑恶性肿瘤3例(2例病理证实结节性甲状腺肿),恶性肿瘤3例(病理证实为乳头状癌3例)。结论 UGFNAB对甲状腺结节的良恶性鉴别具有重要意义,有助于甲状腺结节术前评估。
Objective To investigate the clinical significance of ultrasound-guided fine needle aspiration cytology (UGFNAB) in the diagnosis of thyroid nodules. Methods From May 2014 to December 2015, 136 cases underwent endoscopic ultrasonography guided by thyroid needle aspiration cytology in our hospital. Results The incidence of thyroid nodules was 40-70 years old. Thirteen thyroid nodules under ultrasound guidance were not diagnosed by fine needle aspiration. There were 8 cases without diagnosis, 116 cases with benign lesions, 6 cases with atypical lesions and 3 cases with suspected malignant tumors (2 cases confirmed pathologically Nosocomial goiter), 3 cases of malignant tumors (pathological confirmed as papillary carcinoma in 3 cases). Conclusions UGFNAB is of great significance in differentiating thyroid nodules from benign and malignant diseases and is helpful for the preoperative evaluation of thyroid nodules.