甲状腺结节细针穿刺中使用空芯针或带芯针的标本满意率的比较  

A Comparison of Satisfaction Rate of Samples Between Hollow Needle and Stylet Needle in Fine-needle Aspiration of Thyroid Nodules

作　　者：骆鹏飞[1] 穆夏黎 焦大海 张培新 Luo Pengfei;Mu Xiali;Jiao Dahai(Department of Thyroid and Breast Surgery, Fuyang People’s Hospital of Anhui Medical University, Fuyang People’s Hospital, Fuyang 236000, China)

机构地区：[1]安徽医科大学附属阜阳人民医院阜阳市人民医院甲状腺乳腺外科,阜阳236000

出　　处：《中国微创外科杂志》2021年第11期1016-1019,共4页Chinese Journal of Minimally Invasive Surgery

基　　金：阜阳市自筹经费科技计划项目(FK202081015)。

摘　　要：目的探讨使用空芯针或带芯针对甲状腺结节细针穿刺细胞学检查(fine-needle aspiration cytology,FNAC)标本满意率的影响。方法纳入2019年8月~2020年4月甲状腺结节FNAC患者147例,随意分成2组。组一74例,先使用空芯针(5 ml注射器25G针头),后使用带芯针(25G多用途千叶针);组二73例,先使用带芯针,后使用空芯针。2组一般资料及结节彩超特征比较差异无统计学意义。空芯针和带芯针各穿刺涂片1张,比较带芯针和空芯针标本满意率。结果空芯针的标本满意率明显高于带芯针[83.7%(123/147)vs.72.1%(106/147),χ^(2)=5.708,P=0.017]。结论对于经验丰富的穿刺操作者,使用带芯针无法提升标本满意率。Objective To investigate the influence of two different needles on satisfaction rate of samples in fine-needle aspiration cytology(FNAC)of thyroid nodules.Methods A total of 147 patients with thyroid nodules who were referred for FNAC between August 2019 and April 2020 were included and divided into 2 groups.In the group 1,74 patients were treated with hollow needle(5 ml syringe,25 G needle)firstly and then with stylet needle(25 G multi-purpose chiba needle).In the group 2,73 patients were treated with stylet needle firstly and then with hollow needle.No significant differences in general conditions and color doppler ultrasonography of nodules were found between the two groups.One smear was taken for each of the hollow needle and stylet needle,and the satisfaction rate of samples was compared.Results The sample satisfaction rate of hollow needle was significantly higher than that of stylet needle[83.7%(123/147)vs.72.1%(106/147),χ^(2)=5.708,P=0.017].Conclusion For experienced surgeons,the use of stylet needle does not increase the rate of satisfactory specimen.

关 键 词：甲状腺结节 活组织检查 细针 标本满意率 

分 类 号：R73[医药卫生—肿瘤]