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【目的】探讨颈淋巴穿刺细胞学检查在甲状腺乳头状癌颈淋巴转移中的诊断价值。【方法】选取甲状腺乳头状癌颈淋巴结转移患者90例，均采用颈淋巴穿刺细胞学检查，其中46例采用甲状腺细针穿刺细胞学检查，并与术后病理诊断结果比较。【结果】颈淋巴结穿刺细胞学检查阳性率为90．00％（81/90）。颈淋巴结穿刺细胞学检查灵敏度为89．13％（41/46），漏诊率为10．87％（5/46）；甲状腺细针穿刺细胞学检查灵敏度为36．96％（17/46），漏诊率为63．04％（29/46），二者灵敏度的比较有统计学差异（ P＜0．05）。【结论】颈淋巴结细针穿刺细胞学检查在甲状腺乳头状癌并颈淋巴结转移的患者诊断中具有显著优势，值得临床推广应用。“,”[Objective]To explore the value of cervical lymph node biopsy cytology in the diagnosis of pa-pillary thyroid carcinoma .[Methods] Totally 90 cases of papillary thyroid carcinomas with lymph node metas-tasis were selected and detected by using cervical lymph node biopsy cytology .Among them ,46 patients were detected by thyroid fine needle puncture cytology .The results were compared with postoperative pathological diagnosis results .[Results]The positive rate of cervical lymph node biopsy cytology was 90 .00% (81/90) . The sensitivity of cervical lymph node biopsy cytology was 89 .13% (41/46) ,and the missed diagnosis rate was 10 .87% (5/46) .The sensitivity of thyroid fine needle puncture cytology was 36 .96% (17/46) ,and the missed diagnosis rate was 63 .04% (29/46) .There was significant difference in the sensitivity between two methods ( P <0 .05) .[Conclusion]Cervical lymph node biopsy cytology in the diagnosis of cervical lymph node metas-tasis in patients with papillary thyroid carcinoma has significant advantages ,so it is worthy of clinical promo-tion .