吞咽对甲状腺微小结节细针穿刺标本满意率影响的研究  被引量:3

Study on the Effect of Swallowing on the Satisfaction Rate of Fine-needle Aspiration of Thyroid Micronodule

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作  者:李伟伟[1] 李小恩[1] 沈建康[1] 赵颖燕 吴敏[1] 詹维伟[2] 周伟[2] Li Weiwei;Li Xiaoen;Shen Jiankang;Zhao Yingyan;Wu Min;Zhan Weiwei;Zhou Wei(Department of Ultrasound,Luwan Branch,Ruijin Hospital Shool of Medicine,Shanghai Jiaotong University,Shanghai 200025,China;Ruijin Hospital,Shool of Medicine,Shanghai Jiaotong University,Shanghai200025,China)

机构地区:[1]上海交通大学医学院附属瑞金医院卢湾分院,上海市200025 [2]上海交通大学医学院附属瑞金医院,上海市200025

出  处:《中国超声医学杂志》2022年第6期608-611,共4页Chinese Journal of Ultrasound in Medicine

摘  要:目的探讨吞咽对超声引导下甲状腺微小结节细针穿刺活检(ultrasound-guided fine needle aspiration biopsy,US-FNAB)抽吸标本满意率的影响。方法分析680例甲状腺微小结节患者(376例观察组术前吞咽,304例对照组术前未吞咽)的US-FNAB超声图像特征、穿刺术中表现及标本满意情况。结果58.5%TBSRTCⅠ类结节位置贴近气管、颈动脉或后包膜,大小<5 mm占41.5%,其中59.8%为低回声,53.7%存在钙化,59.9%血流丰富,57.3%为高硬度,73.2%穿刺平均每针时长超过20 s,40.2%术中发生吞咽,与TBSRTCⅡ~Ⅵ类结节相比,具有统计学意义(P<0.05)。观察组75.3%血细胞沾染少,62.5%细胞量丰富,67.6%组织框架留存良好,80.6%细胞破坏轻,54.8%穿刺时长超过20 s,术中发生吞咽占5.1%,与对照组相比,具有统计学意义(P<0.05)。结论患者术前吞咽可降低术中吞咽,提高甲状腺微小结节细针穿刺标本满意率。Objective To investigate the effect of swallowing on the satisfaction rate of fine needle biopsy of thyroid nodules under ultrasound guidance.Methods The US-FNAB ultrasound image characteristics,intra-operative performance and specimen satisfaction of 680 patients with thyroid micronodules(376 in the observation group and 304 in the control group)were analyzed.Results 58.5%of TBSRTC typeⅠnodules were located close to the trachea,carotid artery or posterior capsule,and 41.5%were less than 5 mm.Among them,59.8%were hypoechoic,53.7%calcified,59.9%had rich blood flow,57.3%were high hardness,73.2%had an average puncture time of more than 20 s and intraoperative swallowing occurred in 40.2%.Compared with TBSRTCⅡ~Ⅵnodules,there was statistical significance(P<0.05).In the observation group,75.3%had less blood cell contamination,62.5%had abundant cells,67.6%retained tissue frame well,80.6%had light cell damage,54.8%punctured time for more than 20 s,and 5.1%had swallowing during operation.Compared with the control group,it had statistical significance(P<0.05).Conclusions Preoperative swallowing can reduce intraoperative swallowing and improve the satisfaction rate of fine-needle puncture specimen of thyroid micronodules.

关 键 词:超声引导下细针穿刺活检 甲状腺微小结节 标本满意率 

分 类 号:R445.1[医药卫生—影像医学与核医学] R736.1[医药卫生—诊断学]

 

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