CAJ | 학술논문

目的评价针刺细胞学检查（FNAC）在甲状腺癌术前诊断中的作用。方法回顾分析60例甲状腺结节手术患者的术前细针穿刺细胞学检查和术后组织病理学检查的诊断结果。结果术前细针穿刺细胞学检查诊断良、恶性病例数分别为44例和16例，术后组织病理学检查结果良、恶性病例数分别为43例和17例，二者差异无统计学意义（χ2=0.04，P=0.84）；细针穿刺诊断甲状腺结节性质的敏感度为82.35%（14/17）、特异度为95.35%（41/43）、诊断符合率为91.67%[（41+14）/60]。结论 FNAC对甲状腺癌术前诊断价值高，是一种安全有效的术前诊断手段，值得临床推广应用。
목적평개침자세포학검사（FNAC）재갑상선암술전진단중적작용。방법회고분석60례갑상선결절수술환자적술전세침천자세포학검사화술후조직병이학검사적진단결과。결과술전세침천자세포학검사진단량、악성병례수분별위44례화16례，술후조직병이학검사결과량、악성병례수분별위43례화17례，이자차이무통계학의의（χ2=0.04，P=0.84）；세침천자진단갑상선결절성질적민감도위82.35%（14/17）、특이도위95.35%（41/43）、진단부합솔위91.67%[（41+14）/60]。결론 FNAC대갑상선암술전진단개치고，시일충안전유효적술전진단수단，치득림상추엄응용。
Objective To evaluation the value of before the operation diagnosis of fine needle aspiration cytology in thyroid cancer.Methods To retrospective analysis the diagnosis results of before the operation of ifne needle aspiration cytology and after the operation of histopathological examination for thyroid nodules operation patients for 60 cases.Results Before the operation benign malignant the number of cases each were 44 cases and 16 cases of ifne needle aspiration cytology, after the operation, benign malignant the number of cases each were 43 cases and 17 cases of histopathological examination, no statistically signiifcant difference between the two groups(χ2=0.04,P=0.84); ifne needle aspiration cytology diagnosis thyroid nodules sensitivity was 82.35%(14/17), speciifcity was 95.35%(41/43), diagnosis accordance rate was 91.67%[(41+14)/60].Conclusion FNAC to thyroid cancer diagnosis high value, it is a new approach to security, preoperative diagnosis method, and worthy of clinical application.