自身免疫性甲状腺疾病____

自身免疫性甲状腺疾病的针吸细胞学诊断探讨

http://www.100md.com 《实用医技杂志》 2006年第5期

自身免疫性甲状腺疾病,,],自身免疫性甲状腺疾病；弥漫性毒甲状腺肿；细针吸取细胞学,1材料与方法,2结果,3讨论,参考文献：

     [摘要] 目的：探讨细针活检细胞学(FNAC)检查对自身免疫性甲状腺疾病(AITD)的诊断价值。方法：采用FNAC检查法诊断AITD，细胞学诊断把AITD分为弥漫性毒性甲状腺肿(GD)Ⅰ、Ⅱ、Ⅲ3个亚型和桥本氏甲状腺炎(HT)L、O、P、F 4个亚型。结果：1 106例甲状腺的FNAC资料中有术后病理诊断为AITD的58例，其中细胞学诊断正确55例(占94.8%)，误诊者3例，(占5.2%)。诊断正确的55例中分型基本正确者51例(占92.7%)。结论：FNAC对AITD的诊断准确可靠。其中对GDⅠ、Ⅱ和HTO、P、F的分型诊断准确率较高，GDⅢ与HTL容易混淆。

    [关键词] 自身免疫性甲状腺疾病；弥漫性毒甲状腺肿；细针吸取细胞学

    Discussion of FNBC diagnosis to AITD

    QI Guisheng1, REN Yubo2

    (1.Liaocheng Vocation and Technical College,Liaocheng, Shandong 252000, China；2.The People's Hospital of Liaocheng,Liaocheng, Shandong 252000，China)

    Abstract：Objective Discussion the value of FNBC examination to AITD.Methods 1 106 Patients with thyroid disences were diagnosed with FNBC examination.58 AITD of them had postoperative pathology.For the need of cytological diagnosis and differential diagnosis,AITD were typed Grave's disease(GD)Ⅰ、Ⅱ、Ⅲ and Hashimoto's thyroiditis(HT)L,O,P,F.Results The cytological diagnostic accurate rate of AITD was 94.8%.the mistaken was 5.2%,3.6% of AITD is difficult to distinguish as GD or HT.Conclusions The cytological diagnosis of AITD depended on smears of high quality,and the right type was helpful to the cytological diagnosis and differential diagnosis.GDⅠ、Ⅱ,and HTO、P、F was easy to diagnose,but GDⅢ and HTL to confuse. ......

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