超声引导下甲状腺结节粗针穿刺活检与细针抽吸取材满意率比较  

Compare the Adequacy between Ultrasound-guided Core Needle Biopsy and Fine Needle Biopsy on the Thyroid Nodules

作　　者：王丽荟 陈路增[1] 高莹[2] 王彬[1] 张惠[1] 陈铭[1] 

机构地区：[1]北京大学第一医院超声诊断中心,北京市100034 [2]北京大学第一医院内分泌科,北京市100034

出　　处：《中国超声医学杂志》2017年第3期199-202,共4页Chinese Journal of Ultrasound in Medicine

摘　　要：目的比较甲状腺结节粗针穿刺活检(CNB)与细针抽吸(FNA)取材满意率。方法收集我院超声引导下甲状腺结节CNB及超声引导下FNA患者资料。按甲状腺结节最大径把结节分为三组:A组(最大径>1.0cm)、B组(0.5cm≤最大径≤1.0cm)、C组(最大径<0.5cm)。FNA及CNB病理按Bethesda分类系统分为6类。取材满意率=(全部-Ⅰ类)/全部。结果粗针活检共1 279例结节入选,A组613例,取材满意率97.9%(600/613);B组617例,取材满意率96.6%(596/617);C组49例,取材满意率91.8%(45/49)。细针抽吸共343例结节入选,A组259例,取材满意率89.2%(231/259);B组79例,取材满意率91.1%(72/79);C组5例,取材满意率80.0%(4/5)。A、B、C组CNB取材满意率高于均FNA取材满意率(P<0.05),A、B组具有统计学意义。结论对于最大径>5mm的甲状腺结节,超声引导下CNB的取材满意率高于FNA取材满意率。Objective To compare the pathologic adequacy of thyroid nodules oBTained by ultrasound guided core needle biopsy （CNB） with oBTained by ultrasound guided fine needle aspiration （FNA）. Methods From the data of the patients who endure ultrasound guided CNB or FNA were collected retrospectively. The patients were classified into 3 groups by the most biggest diameters of thyroid nodule. A group diameters of noduleS1.0 cm, B group 0.5 cm ≤diameters of nodule ≤1.0 cm, C group diameters of nodule 〈0.5 cm. Referring to the NCI 2009 Bethesda System for Reporting thyroid Cytopathology, the pathological diagnosis were classified as six categories. Adequacy= （all-cate- gory I ）/all. Results Ultrasound guided CNB was performed to 1279 thyroid nodules,613 nodules were classified into group A, adequacy was 97.9% （600/613）. 617 nodules were classified into group B, adequacy was 96.6% （596/ 617）. 49 nodules were classified into group C, adequacy was 91.8% （45/49）. Ultrasound guided FNA was performed to 343 thyroid nodules. 259 nodules were classified into group A, adequacy was 89.2% （213/259）. 79 nodules were classified into group B, adequacy was 91.1%（72/79）. 5 nodules were classified into group C, adequacy was 80.0% （4/5）. In group A, group B, group C： adequacy of CNB on the thyroid nodules is higher than adequacy of FNA, group A, group B （P〈0.05）. Conclusions The adequacy of ultrasound-guided CNB is higher than FNA＇s signifi- cantly in diameters of thyroid nodule larger than 5 mm.

关 键 词：甲状腺结节 粗针穿刺 细针抽吸 超声引导 取材满意率 

分 类 号：R445.1[医药卫生—影像医学与核医学] R581[医药卫生—诊断学]