加强甲状腺结节细针穿刺规范化管理  

Standardizing the management of fine needle aspiration for thyroid nodules

作　　者：刘晓云[1] 徐书杭[2] 邬宏恂[3] 张园[4] 包建东[3] 刘超[2] 杨涛[1] 王坚 Liu Xiaoyun;Xu Shuhang;Wu Hongxun;Zhang Yuan;Bao Jiandong;Liu Chao;Yang Tao;Wang Jian(Department of Endocrinology,The First Affiliated Hospital of Nanjing Medical University,Nanjing 210029,China;Endocrine and Diabetes Center,Affiliated Hospital of Integrated Traditional Chinese and Western Medicine,Nanjing University of Traditional Chinese Medicine,Jiangsu Province Academy of Traditional Chinese Medicine,Nanjing 210028,China;Jiangyuan Hospital Affiliated to Jiangsu Institute of Nuclear Medicine,Key Laboratory of Nuclear Medicine,Ministry of Health,Jiangsu Key Laboratory of Molecular Nuclear Medicine,Wuxi 214063,China;Department of Head and Neck Surgery,Jiangsu Province Tumor Hospital,Nanjing 210009,China;Department of Endocrinology,Taikang Xianlin Drum Tower Hospital,Nanjing 210046,China;Department of Endocrinology,Eastern Theater General Hospital,Nanjing 210002,China)

机构地区：[1]南京医科大学第一附属医院(江苏省人民医院)内分泌科,210029 [2]南京中医药大学附属中西医结合医院,江苏省中医药研究院,内分泌代谢病分院,210028 [3]江苏省原子医学研究所(卫生部核医学重点实验室/江苏省分子核医学重点实验室)附属江原医院,无锡214063 [4]南京医科大学附属肿瘤医院(江苏省肿瘤医院,江苏省肿瘤防治研究所)头颈外科,210009 [5]泰康仙林鼓楼医院内分泌科,南京210046 [6]东部战区总医院内分泌科,南京210002

出　　处：《中华内分泌代谢杂志》2019年第10期819-824,共6页Chinese Journal of Endocrinology and Metabolism

基　　金：江苏省科技厅临床重大专项基金(BE2016796)。

摘　　要：甲状腺结节是非常常见的临床问题。甲状腺结节细针穿刺检查是甲状腺结节诊断的重要方法之一。本文结合了近年来国内外该领域的进展,就细针穿刺的定义、开展情况、临床意义、适应证、禁忌证、超声评估方法、准备工作、具体步骤、分子学诊断、细胞病理解读、注意事项等进行了相关的建议和评述,旨在将该技术规范化、普及化,为更多的临床医师提供参考,使该技术服务于更多的甲状腺结节患者。Thyroid nodules are very common in the clinical practice.Fine needle aspiration(FNA)is a major method for the diagnosis of thyroid nodules.This review tried to cover the definition,current status,clinical significance,indications,contraindications,ultrasound evaluation,as well as preparations,steps,molecular diagnosis,cytology diagnosis,and possible pitfalls of this technique.Our purpose is trying to make this procedure universalized and standardized in order to serve more patients by providing clinicians with some helpful references and advices.

关 键 词：甲状腺结节 细针穿刺 技术 规范化 

分 类 号：R73[医药卫生—肿瘤]