超声引导下不同穿刺速度对甲状腺结节细胞学诊断率的影响

打开文本图片集

[Abstract]Objective： To explore and analyze the influence of diferent puncture speeds under ultrasound guidance on the cytological diagnosisrate of thyroid nodules.Method：A total of 8O patientswith thyroid nodules who undergoing ultrasound-guided puncture in Pingxiang People's Hospital from January 2O22 and December 2024 were enrolled，according to the simple and random grouping method， they were divided into the routine group [normal-speed puncture （operation time >3 s）] and the high-frequency group [high-frequency and rapid puncture （operation time ⩽3 s）]， 40 cases in each group. The sampling satisfaction rate，cytological diagnosis rate and occurrence of puncture complications were compared between two groups.Result： The sampling satisfaction rate in the high-frequency group was 95.00% ， which was significantly higher than 80.00% in the routine group， the difference was statistically significant （ P <0.05）.The accuracy rate of cytological diagnosis in the routine group was （204号 84.38% ，and sensitivity was 88.00% ， specificity was 71.43% ，and Kappa value was O.565，showing good consistency; the accuracy rate of cytological diagnosis in the high-frequency group was 92.11% ，and sensitivity was 93.75% ， specificity was 83.33 % ，and Kappa value was O.723，showing high consistency; there were no significant differences in the accuracy，sensitivity and specificityof two groups' puncture speeds （P>O.O5）. There was no significant diference in complications such as puncture site pain，recurrent laryngeal nerve injury，local hematoma and infection between the routine group and the high-frequency group （P>0.05 ）. Conclusion： High-frequency puncture under ultrasound guidance can improve the rate of cytologicaldiagnosis and the sampling satisfactionrate of thyroid nodules，reduce non-diagnostic results，and thus avoid unnecessry repeated puncture or surgery.

甲状腺结节是临床常见的内分泌疾病，在人群中的检出率日益增高。（剩余5946字）