[超声引导下细针穿刺细胞学检查对甲状腺钙化结节诊断不足率的评估]

[Evaluation of the inadequate diagnostic rate of ultrasound guided fine needle aspiration cytology inthyroid calcified nodules].

作者信息

Wang Jing, Jiang Tianan, Li Jing, Mou Yun, Hu Ying, Wang Baohua, You Qihan

机构信息

Department of Ultrasound, the First Affiliated Hospital College of Medicine, Zhejiang University, Hangzhou 310003, China.

Email:

出版信息

Zhonghua Yi Xue Za Zhi. 2014 Oct 14;94(37):2948-50.

PMID:25549652

Abstract

OBJECTIVE

To evaluate the inadequate diagnostic rate of ultrasound guided fine needle aspiration cytology (USFNAC) in thyroid calcified nodules.

METHODS

208 thyroid calcified nodules in 202 patients were retrospective analyzed, and all of the nodules were acquired cytological diagnosis.

RESULTS

There was no significant complication in the all 208 thyroid calcified nodules. The inadequate diagnostic rate was 25.5% in thyroid calcified nodules. The inadequate diagnostic rates in micro calcifications , macro calcifications and circumjacent arc calcifications were 16.0%, 26.4% and 76.5%. The inadequate diagnostic rate in circumjacent arc calcifications were higher than those in micro calcifications and macro calcifications (P < 0.01) , and the rates were no significance in micro calcifications and macro calcifications. There was no statistical significance in different size of thyroid calcified nodules.

CONCLUSIONS

The inadequate diagnostic rate in circumjacent arc calcifications was higher, and should to avoid USFNAC in these nodules.

摘要

目的

评估超声引导下细针穿刺细胞学检查（USFNAC）在甲状腺钙化结节中的诊断不充分率。

方法

回顾性分析202例患者的208个甲状腺钙化结节，所有结节均获得细胞学诊断。

结果

208个甲状腺钙化结节均未出现明显并发症。甲状腺钙化结节的诊断不充分率为25.5%。微钙化、粗钙化和周边弧形钙化的诊断不充分率分别为16.0%、26.4%和76.5%。周边弧形钙化的诊断不充分率高于微钙化和粗钙化（P<0.01），微钙化和粗钙化之间差异无统计学意义。不同大小的甲状腺钙化结节之间无统计学差异。