影像科学与光化学 ›› 2024, Vol. 42 ›› Issue (1): 29-33.DOI: 10.7517/issn.1674-0475.230803

• 综述与论文 • 上一篇    下一篇

甲状腺结节大小对超声引导下细针穿刺活检标本质量影响的研究

李龙, 张苏雅, 吕镔, 王贝贝, 冷志远   

  1. 济宁市第一人民医院超声医学科, 山东 济宁, 272000
  • 收稿日期:2023-08-04 修回日期:2023-12-11 发布日期:2024-02-21
  • 通讯作者: 吕镔

Study on the Influence of Thyroid Nodule Size on the Quality of Ultrasound-guided Fine Needle Biopsy Specimens

LI Long, ZHANG Suya, LV Bin, WANG Beibei, LENG Zhiyuan   

  1. Department of Ultrasound, Jining No. 1 People's Hospital, Jining 272000, Shandong, P.R. China
  • Received:2023-08-04 Revised:2023-12-11 Published:2024-02-21

摘要: 本研究旨在评估甲状腺结节大小对超声引导下细针穿刺活检(US-FNAB)标本质量的影响。回顾性分析由同一名超声医生独立完成的614例共733个甲状腺结节US-FNAB患者资料,根据甲状腺结节直径分为A组(<5 mm)、B组(5~10 mm)和C组(>10 mm),比较各组间标本不满意率。A组189个结节,不满意率为11.6%(22/189);B组397个结节,不满意率为10.8%(43/397);C组147个结节,不满意率为9.5%(14/147)。三组间US-FNAB标本不满意率比较差异均无统计学意义(P>0.05)。对于一名具有丰富操作经验的医生,甲状腺结节大小不会影响US-FNAB的标本质量。

关键词: 甲状腺结节, 超声检查, 活组织检查, 细针, 标本质量

Abstract: To evaluate the influence of thyroid nodule size on the quality of ultrasound-guided fine-needle aspiration biopsy (US-FNAB) specimens. The data of 614 patients with US-FNAB independently completed by the same ultrasound doctor were retrospectively analyzed. According to the diameter of thyroid nodules, they were divided into group A (<5 mm), group B (5-10 mm) and group C (>10 mm), and the unsatisfaction rates among the groups were compared. There were 189 nodules in Group A, and the rate of unsatisfaction was 11.6% (22/189). In group B, there were 397 nodules, and the unsatisfaction rate was 10.8% (43/397). In group C, there were 147 nodules, and the unsatisfaction rate was 9.5% (14/147). There was no significant difference in the rate of unsatisfaction among the three groups (P>0.05). For a doctor with rich operating experience, the size of thyroid nodules does not affect the quality of US-FNAB specimens.

Key words: thyroid nodule, ultrasonography, biopsy, fine needle, specimen quality