[1]杨晶晶,徐书杭,刘超.针穿活检用于甲状腺结节诊断的研究进展[J].国际内分泌代谢杂志,2021,41(01):20-23.[doi:10.3760/cma.j.cn121383-20200511-05018]
　Yang Jingjing,Xu Shuhang,et al.Update on core needle biopsy in the diagnosis of thyroid nodules[J].International Journal of Endocrinology and Metabolism,2021,41(01):20-23.[doi:10.3760/cma.j.cn121383-20200511-05018]
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针穿活检用于甲状腺结节诊断的研究进展()
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《国际内分泌代谢杂志》[ISSN:1673-4157/CN:12-1383/R]

卷:
41
期数:
2021年01期
页码:
20-23
栏目:
甲状腺疾病专题
出版日期:
2021-01-20

文章信息/Info

Title:
Update on core needle biopsy in the diagnosis of thyroid nodules
作者:
杨晶晶1; 2; 徐书杭1; 刘超1
1南京中医药大学附属中西医结合医院内分泌科 210028; 2南京中医药大学 210023
Author(s):
Yang Jingjing1;  2;  Xu Shuhang1;  Liu Chao1.
1Department of Endocrinology and Metabolism, Affiliated Hospital of Integration of Chinese and Western Medicine in Jiangsu Province, Nanjing 210028, China; 2Nanjing University of Traditional Chinese Medicine, Nanjing 210023, China
关键词:
甲状腺结节;  针穿活检;  细针穿刺;  病理报告系统
Keywords:
Thyroid nodule;  Core needle biopsy;  Fine needle aspiration;  Pathology reporting system
DOI:
10.3760/cma.j.cn121383-20200511-05018
摘要:
尽管细针穿刺细胞学检查(fine needle aspiration cytology,FNAC)在甲状腺结节诊断中得到广泛应用,但依然有标本不满意或细胞学结果不确定等缺点。超声引导下针穿活检(core needle biopsy,CNB)已被认为是一种诊断甲状腺结节安全、有效的替代方法。目前,已建立用于甲状腺CNB结果分类的病理报告系统。CNB的诊断价值已在越来越多的研究中得到验证,即CNB可以解决FNAC无法诊断或标本不满意等问题,提高细胞学结果不确定甲状腺结节的确诊率,进而提高甲状腺结节诊断准确率。CNB并发症轻微,严重并发症发生率较低,大部分患者耐受良好,相对安全。
Abstract:
Although fine needle aspiration cytology has been widely used in the diagnosis of thyroid nodule, there are still some limitations, including high rate nondiagnostic or unsatisfactory cytology and uncertain cytological results. Ultrasound-guided core needle biopsy(CNB)has been regarded as a safe and effective alternation. Currently, a pathology reporting system of thyroid core needle biopsy has been established for reporting thyroid CNB results. More studies have identified the diagnostic value of CNB since it reduced the rate of nondiagnostic/unsatisfactory or indeterminate cytology, therefore improved the diagnosis accuracy of thyroid nodule. Meanwhile, accumulated evidence has demonstrated that CNB is well tolerated and relatively safe for most patients due to its low rate of major and minor complications.

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备注/Memo

备注/Memo:
通信作者:徐书杭,Email: shuhangxu@163.com; 刘超,Email: liuchao@nfmcn.com
更新日期/Last Update: 2021-01-20