微波消融改善甲状腺结节粗针穿刺活检的过程与结果

发布时间：2018-10-30 08:27

【摘要】：目的探讨微波消融对甲状腺结节粗针穿刺活检标本质量、出血风险和病理结果的影响。方法对251例甲状腺单发结节在微波消融前、消融后进行双重粗针穿刺活检,比较2次取材标本质量满意度、穿刺后甲状腺出血程度、病理切片可判读性及病理诊断结果的前后一致性。结果甲状腺结节消融前、消融后组织学标本质量满意度分别为92.03%(231/251)、100%(251/251),消融后标本质量满意度较消融前提高(P=0.000)。消融前、消融后活检出血发生率分别为15.14%(38/251)、0%,消融后出血发生率较消融前降低(P=0.000)。251例甲状腺结节中良性结节184例,乳头状癌结节67例,除4例因微波消融前穿刺活检标本质量差而无法制片外,其余结节消融前和消融后粗针穿刺活检病理诊断总体一致性为100%。结论微波消融术后即刻粗针穿刺活检不影响甲状腺结节病理诊断准确性,并且具有减少出血风险、改善标本质量的优点。
[Abstract]:Objective to investigate the effect of microwave ablation on the quality, bleeding risk and pathological results of coarse needle biopsy specimens of thyroid nodules. Methods double coarse needle biopsy was performed on 251 cases of single thyroid nodules before and after microwave ablation. The quality satisfaction of two samples and the degree of thyroid hemorrhage after ablation were compared. Pathological sections were decipherable and the results of pathological diagnosis were consistent with each other. Results before and after ablation, the quality satisfaction of thyroid nodules was 92.03% (231 / 251) and 100% (251 / 251), respectively. The quality satisfaction after ablation was higher than that before ablation (P0. 000). Before and after ablation, the incidence of biopsy bleeding was 15.14% (38 / 251). The incidence of bleeding after ablation was lower than that before ablation (P0. 000). 184 cases were benign nodules, 67 cases were papillary carcinoma nodules. Except 4 cases were unable to make films due to the poor quality of biopsy specimens before and after microwave ablation, the overall consistency of pathological diagnosis of coarse needle biopsy before and after ablation was 100%. Conclusion immediate coarse needle biopsy after microwave ablation does not affect the accuracy of pathological diagnosis of thyroid nodules and has the advantages of reducing the risk of bleeding and improving the quality of specimens.
【作者单位】：第二军医大学长征医院超声诊疗科;解放军100医院特诊科;
【基金】：国家自然科学基金(81171436)~~
【分类号】：R581

【相似文献】