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中华医学超声杂志（电子版） ›› 2015, Vol. 12 ›› Issue (10) : 763 -767. doi: 10.3877/cma.j.issn.1672-6448.2015.10.005

所属专题： 文献；

浅表器官超声影像学

21G和23G细针对超声引导下甲状腺结节穿刺标本满意率的比较
冯伶艳1, 钱林学1,†(), 刘玉江1, 赵军凤1, 刘冬1   
  1. 1. 100050　北京，首都医科大学附属友谊医院超声医学科
  • 收稿日期:2015-08-31 出版日期:2015-10-01
  • 通信作者: 钱林学
  • 基金资助:
    首都临床特色应用研究(Z131107002213143)

Comparison the sample satisfaction rate of 21 and 23 gauge needles used for the ultrasound-guided fine needle aspiration biopsy of thyroid nodules

Lingyan Feng1, Linxue Qian1,†(), Yujiang Liu1, Junfeng Zhao1, Dong Liu1   

  1. 1. Department of Ultrasound, Beijing Friendship Hospital, Capital Medical University, Beijing 100050, China
  • Received:2015-08-31 Published:2015-10-01
  • Corresponding author: Linxue Qian
  • About author:
    Corresponding author: QianLinxue, Email:
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冯伶艳, 钱林学, 刘玉江, 赵军凤, 刘冬. 21G和23G细针对超声引导下甲状腺结节穿刺标本满意率的比较[J]. 中华医学超声杂志（电子版）, 2015, 12(10): 763-767.

Lingyan Feng, Linxue Qian, Yujiang Liu, Junfeng Zhao, Dong Liu. Comparison the sample satisfaction rate of 21 and 23 gauge needles used for the ultrasound-guided fine needle aspiration biopsy of thyroid nodules[J]. Chinese Journal of Medical Ultrasound (Electronic Edition), 2015, 12(10): 763-767.

目的

比较21G和23G型号细针对甲状腺结节穿刺标本的满意率。

方法

2015年1月至2015年2月到首都医科大学附属友谊医院超声医学科进行甲状腺穿刺的病例共123例，123个结节中每个结节分别用21G和23G针进行超声引导下细针穿刺抽吸活组织检查（US-FNAB），所有标本进行液基细胞学制片，将标本分为满意和不满意2种，21G和23G针穿刺的先后顺序按照随机表进行，比较21G细针和23G细针在进行甲状腺结节穿刺时标本的满意率。

结果

21G针穿刺甲状腺结节的标本满意率87.8%（108/123），23G针穿刺甲状腺结节的标本满意率86.2%（106/123）。差异无统计学意义（χ2=0.045，P>0.05）。

结论

23G细针和21G细针在甲状腺结节穿刺中取得标本的满意率相近，23G细针穿刺可以作为一种方法用于临床工作。

关键词: 甲状腺结节, 细针穿刺细胞学, 超声引导
Objective

To compare the sample satisfaction rate of 21 and 23 gauge needles used in the ultrasound-guided fine needle aspiration biopsy (US-FNAB) of thyroid nodules.

Methods

A total of 123 cases of thyroid puncture patients from January 2015 to February 2015 in our department were included in this study, each nodule was aspirated by both 21G and 23G needles guided by ultrasound, all specimens were produced by liquid-based cytology, the order of 21G and 23G needle was in terms of random table, samples were divided into two groups, satisfied or unsatisfied, then the satisfaction rate between 21G and 23G was compare.

Results

The satisfaction rate of 21G needle aspiration of thyroid nodules was 87.8%, while The satisfaction rate of 23G needle aspiration of thyroid nodules was 86.2%. There was no statistically significant difference between 21G and 23G needles in terms of the sample satisfaction rate (χ2=0.045, P > 0.05).

Conclusion

The results of our study showed that FNA with 23G needles can aspirate adequate material for cytopathological diagnosis. 23G gauge needles may be used as a more secure method for US-FNAB of thyroid nodules in clinical work.

Key words: Thyroid nodules, Fine needle aspiration cytology biopsy, Ultrasound-guided
图2 23G针进入甲状腺右叶结节内声像图
图6 同一患者23G针穿刺甲状腺结节标本制片，细胞较丰富（HE×40），诊断乳头状癌，滤泡亚型
表1 123个甲状腺结节标本中21G针与23G针穿刺标本满意率［例数（%）］
针型号 满意 不满意
21G 108（87.8） 15（12.2）
23G 106（86.2） 17（13.8）
χ2值 0.045
P值 0.832
表2 21G针与23G针对不同大小甲状腺结节穿刺标本的满意率比较［%（例/例）］
针型号 结节大小（cm）
＜ 0.5 0.5~1.0 ≥ 1.0
21G 86.7（13/15） 88.1（59/67） 87.8（36/41）
23G 86.7（13/15） 86.6（58/67） 85.4（35/41）
χ2值 0.004
P值 0.998
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