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甲状腺病变细针穿刺活检中抽吸与非抽吸技术的比较

Comparison of aspiration vs non-aspiration techniques in fine-needle cytology of thyroid lesions.

作者信息

Maurya Anil Kumar, Mehta Anurag, Mani N S, Nijhawan V S, Batra Rajeev

机构信息

Department of Pathology, Armed Forces Medical College, Pune, Maharashtra, India.

出版信息

J Cytol. 2010 Apr;27(2):51-4. doi: 10.4103/0970-9371.70737.

Abstract

AIM

To compare the efficacy of fine-needle non-aspiration cytology (FNNAC) with that of fine-needle aspiration cytology (FNAC) of thyroid lesions.

MATERIALS AND METHODS

FNAC and FNNAC techniques were studied in 50 cases of thyroid lesions. All the needle-sampling procedures were done by a single operator. The samples were assessed cytologically and evaluated using five parameters, that is, background blood or clot, amount of cellular material, degree of cellular degeneration, and degree of cellular trauma and retention of appropriate architecture.

STATISTICAL ANALYSIS

Wilcoxon signed rank test was performed using SPSS14 software. Differences between all the individual parameters as observed in FNAC and FNNAC smears were insignificant.

RESULTS AND CONCLUSION

After evaluation of FNAC and FNNAC on the basis of these scores, greater numbers of diagnostically superior samples were obtained by FNNAC; however, by FNAC more number of diagnostically adequate smears were observed. The numbers of unsuitable smears were also more by FNNAC technique.

摘要

目的

比较甲状腺病变细针非抽吸细胞学检查(FNNAC)与细针抽吸细胞学检查(FNAC)的疗效。

材料与方法

对50例甲状腺病变患者进行了FNAC和FNNAC技术研究。所有针吸采样程序均由一名操作人员完成。对样本进行细胞学评估,并使用五个参数进行评价,即背景血液或凝块、细胞材料数量、细胞变性程度、细胞损伤程度以及适当结构的保留情况。

统计分析

使用SPSS14软件进行Wilcoxon符号秩检验。在FNAC和FNNAC涂片上观察到的所有个体参数之间的差异均无统计学意义。

结果与结论

根据这些评分对FNAC和FNNAC进行评估后,FNNAC获得了更多诊断效果更佳的样本;然而,FNAC观察到的诊断合格涂片数量更多。FNNAC技术产生的不合格涂片数量也更多。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2b06/3001175/9b1a4ad940a4/JCytol-27-51-g001.jpg

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