单人穿刺法与双人穿刺法在超声引导下甲状腺细针穿刺活检中的对比研究  

Comparison of single person puncture and double person puncture in ultrasound-guided thyroid fine needle biopsy

作　　者：从相国[1] 姜纬[2] 陈欣欣 沈琼[1] 吴英[1] 曹梦蝶 CONG Xiangguo;JIANG Wei;CHEN Xinxin;SHEN Qiong;WU Ying;CAO Mengdie(Department of Endocrinology,Suzhou Hospital Affiliated to Nanjing Medical University/Suzhou Municipal Hospital,Suzhou,Jiangsu,215002,China;Center for Medical Ultrasound,Suzhou Hospital Affiliated to Nanjing Medical University/Suzhou Municipal Hospital,Suzhou,Jiangsu,215002,China)

机构地区：[1]南京医科大学附属苏州医院/苏州市立医院内分泌科,江苏南京215002 [2]南京医科大学附属苏州医院/苏州市立医院超声中心,江苏南京215002

出　　处：《当代医学》2023年第3期71-74,共4页Contemporary Medicine

基　　金：苏州市卫健委科教兴卫青年科技项目(KJXW2021029);苏州卫生健康委员会科技项目(LCZX202009)。

摘　　要：目的探究单人穿刺法与双人穿刺法在超声引导下甲状腺细针穿刺活检中的应用。方法选取2018年1月至2019年2月于本院接受甲状腺结节细针穿刺的200例受检者作为研究对象,随机分为单人穿刺组与双人穿刺组,每组100例。比较两组不良反应发生情况、穿刺操作时间、一次性穿刺成功率、标本满意率、诊断结果。结果两组穿刺过程中及穿刺后痛感均较轻,穿刺过程中及留观后复查超声均未见明显出血征象。单人穿刺组一次性成功率高于双人穿刺组,穿刺操作时间短于双人穿刺组,差异有统计学意义(P<0.05)。单人穿刺组标本满意率为98.00%,双人穿刺组标本满意率为94.00%,两组标本满意率比较差异无统计学意义。单人穿刺组阳性诊断率为60.00%,双人穿刺组为53.00%,两组阳性诊断率比较差异无统计学意义;术后组织病理学证实,单人穿刺组恶性符合率为96.67%,高于双人穿刺组的88.68%,差异有统计学意义(P<0.05)。结论单人穿刺法缩短了穿刺时间,提高了穿刺的一次性成功率,节约了人力成本,是提高良恶性结节鉴别、诊断能力的重要方法,具有良好的临床研究和应用价值。Objective To explore the application of single person puncture and double person puncture in ultrasoundguided thyroid fine needle biopsy.Methods 200 patients who received fine needle punctures of thyroid nodules in our hospital from January 2018 to February 2019 were selected as the research subjects,and they were randomly divided into single puncture group and double puncture group,with 100 cases in each group,the adverse reactions,puncture operation time,onetime puncture success rate and diagnostic results were compared between the two groups.Results During and after the puncture,the pain of the two groups was relatively mild,and no obvious signs of bleeding were found during and after the puncture.The onetime success rate in single puncture group was higher than that in double puncture group,and the puncture operation time was shorter than that in double puncture group,and the differences were statistically significant(P<0.05).The sample satisfaction rate in single puncture group was 98.00%,and that in double puncture group was 94.00%,there was no significant difference between the two groups.The positive diagnostic rate of single puncture group was 60.00%,and that of double puncture group was 53.00%,there was no significant difference between the two groups;postoperative histopathology confirmed that the malignant coincidence rate in the single puncture group was 96.67%,which was higher than 88.68%in the double puncture group,and the differences were statistically significant(P<0.05).Conclusion The single puncture method shortens the puncture time,improves the one-time success rate of puncture,saves labour costs,and is an important method to improve the differentiation and diagnosis of benign and malignant nodules,with good clinical research and application value.

关 键 词：甲状腺细针穿刺细胞学 超声检查 甲状腺结节 穿刺方法 

分 类 号：R472[医药卫生—护理学]