Application Value of ultrasound-guided Thyroid fine-needle Aspiration in the Diagnosis of thyroid Tumors
Objective To analyze the diagnostic value of ultrasound-guided fine-needle aspiration for thyroid tumors.Methods A total of 82 thyroid tumor patients(110 nodules)admitted to Anyang Cancer Hospital from January 2022 to December 2022 were included in the study.Both ultrasound-guided and non-ultrasound-guided thyroid fine-needle puncture examinations were performed,and the final postoperative pathological results were used as the gold standard.The ultrasound manifestations related to the nodules were statistically analyzed,and the diagnostic efficacy(accuracy,specificity,sensitivity,positive predictive value,and negative predictive value)of the two examinations were compared.Results Out of 110 nodules in 82 patients,42 were found to be malignant nodules through surgical pathological examination,including 28 papillary carcinoma,11 follicular carcinoma,2 medullary carcinoma,and 1 undifferentiated carcinoma;68 benign nodules,including 35 nodular goiters,20 thyroid adenomas,and 13 Hashimoto's thyroiditis.Out of 110 nodules,40 lacked regularity in morphology and 35 had unclear boundaries;51 are solid low echoes,8 are mixed echoes,and 51 are medium high echoes;There are microcalcifications in 42 nodules,and the nodules have a central blood supply.Ultrasound-guided fine-needle aspiration of the thyroid gland revealed 41 malignant nodules and 69 benign nodules;Non-ultrasound-guided fine-needle aspiration of the thyroid gland revealed 34 malignant nodules and 76 benign nodules.The diagnostic accuracy,sensitivity,and negative predictive values of ultrasound-guided thyroid fine-needle puncture were 97.27%,95.24%,and 97.10%,which were higher than those of ultrasound-guided thyroid fine-needle puncture,which were 83.64%,69.05%,and 82.89%,with statistically significant differences(P＜0.05).There was no statistically significant difference in diagnostic specificity and positive predictive values between the two tests(P＞0.05).Conclusion Ultrasound-guided fine-needle aspiration for the diagnosis of benign and malignant thyroid tumors is not only convenient to operate and accurately locate,but also has high diagnostic accuracy and sensitivity.It has important value in clarifying the nature of the tumor and formulating subsequent treatment plans.
万方数据
维普
