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总结54例甲状腺粗针穿刺活检病例,分析其病理、超微病理改变与临床诊断和实验检查的联系。结果表明,活检成功率为92.6％,病理确诊率为90.7％,活检前临床诊断与病理符合率仅为67.3％。三分之一左右临床诊断为Graves甲亢的患者实为甲亢伴甲状腺炎或桥本甲亢。超微病理检查对自身免疫性甲状腺疾病的鉴别诊断有较大价值。20％以上的桥本甲状腺炎和桥本甲亢患者自身抗体TgAb、TMAb测定结果呈阴性。
Summary of 54 cases of thyroid needle aspiration needle biopsy, analysis of pathological and ultrastructural changes and clinical diagnosis and experimental examination. The results showed that the successful rate of biopsy was 92.6% and pathological diagnosis rate was 90.7%. The coincidence rate of clinical diagnosis and pathology before biopsy was only 67.3%. About one-third of clinically diagnosed patients with Graves hyperthyroidism is actually hyperthyroidism with thyroiditis or Hashimoto’s hyperthyroidism. Ultra-microscopic pathological examination of autoimmune thyroid disease has a greater value in the differential diagnosis. More than 20% of Hashimoto’s thyroiditis and Hashimoto’s patients with autoantibodies TgAb, TMAb test results were negative.