论文部分内容阅读
目的探讨并对比超声引导下穿刺活检与触诊法穿刺活检在甲状腺结节定性诊断中的价值。方法选择2012年9月-2016年9月期间天津市大港油田总医院诊治的100例甲状腺结节患者,随机分为对照组(触诊法穿刺活检)和观察组(超声引导下穿刺活检),每组各50例,通过比较两组穿刺活检结果、病理结果,进一步分析两组的敏感度、特异度、准确率、误诊率和漏诊率。结果与对照组相比,观察组对甲状腺结节良恶性诊断的敏感度、特异度、准确率均明显升高,而误诊率和漏诊率显著降低,差异有统计学意义(P<0.05)。结论超声引导下穿刺活检能够为甲状腺结节定性诊断提供客观的参考依据,成为非手术条件下获得病理学诊断的首选方法。
Objective To investigate and compare the value of biopsy and palpation biopsy guided by ultrasound in the qualitative diagnosis of thyroid nodules. Methods A total of 100 thyroid nodules diagnosed and treated in Tianjin Dagang Oilfield General Hospital from September 2012 to September 2016 were randomly divided into control group (palpation biopsy) and observation group (ultrasound guided biopsy) Each group of 50 cases, by comparing the two groups of biopsy results, pathological results, further analysis of the sensitivity, specificity, accuracy, misdiagnosis rate and misdiagnosis rate of the two groups. Results Compared with the control group, the sensitivity, specificity and accuracy of the observation group in benign and malignant thyroid nodules were significantly increased, while the misdiagnosis rate and missed diagnosis rate were significantly lower (P <0.05). Conclusion Ultrasound-guided biopsy can provide objective reference for the qualitative diagnosis of thyroid nodules and become the first choice for pathological diagnosis under non-surgical conditions.