CAJ | 학술논문

目的探讨超声引导下甲状腺钙化结节细针穿刺细胞学的无法诊断率.方法回顾性分析2013年3至10月浙江大学医学院附属第一医院202例患者208个甲状腺钙化结节及细胞学诊断结果.结果 208个甲状腺钙化结节细针穿刺检查均未出现严重并发症.甲状腺钙化结节无法诊断率为25.5％;微钙化、粗钙化、周边弧型钙化结节的无法诊断率分别为16.0％、26.4％、76.5％;周边弧型钙化结节比微钙化、粗钙化结节的无法诊断率均高(P＜0.01),粗钙化与微钙化结节无法诊断率比较差异无统计学意义;不同大小(＜5 mm、5 ～10 mm、≥10 mm)各型钙化结节在无法诊断率上差异无统计学意义.结论周边弧型钙化结节无法诊断率高,需尽量避免该类型钙化结节的穿刺.
목적 탐토초성인도하갑상선개화결절세침천자세포학적무법진단솔.방법 회고성분석2013년3지10월절강대학의학원부속제일의원202례환자208개갑상선개화결절급세포학진단결과.결과 208개갑상선개화결절세침천자검사균미출현엄중병발증.갑상선개화결절무법진단솔위25.5％;미개화、조개화、주변호형개화결절적무법진단솔분별위16.0％、26.4％、76.5％;주변호형개화결절비미개화、조개화결절적무법진단솔균고(P＜0.01),조개화여미개화결절무법진단솔비교차이무통계학의의;불동대소(＜5 mm、5 ～10 mm、≥10 mm)각형개화결절재무법진단솔상차이무통계학의의.결론 주변호형개화결절무법진단솔고,수진량피면해류형개화결절적천자.
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.