超声引导下不同针具对甲状腺细针活检的临床价值对比

Comparison of Clinical Value of Different Needle in Ultasound-Guided Fine Needle Biopsy on Thyroid

目的探讨22 G千叶针与22 G普通注射器针头对甲状腺细针穿刺的临床价值。方法分析298例甲状腺结节细针穿刺资料,每一结节分别用22 G千叶针和22 G注射器针头各穿刺一次,分别涂片、固定,细胞保存液冲洗针头后一并送检,统计对比两种方法的标本合格率及穿刺所需时间,总结甲状腺细针活检临床价值。结果22 G千叶针和22 G注射器针的标本合格率分别为92.3%、90.6%,穿刺平均用时分别为(25.1±3.2)s、(16.6±2.8)s,两组出现并发症分别为3.7%(11/298)、3.0%(9/298)。结论两种针具穿刺甲状腺结节标本成功率及并发症差别无统计学意义,但穿刺用时有差异,普通注射器针头穿刺可减轻患者经济负担。

Objective To evaluate the clinical value of 22 G Chiba needle and 22 G syringe needle in ultrasound-guided fine needle biopsy on thyroid.Methods The data of 298 cases of thyroid nodule fine needle aspiration were analyzed.Each nodule was punctured with a 22 G Chiba needle and a 22 G syringe needle,respectively,smeared and fixed,and the cell preservation solution was rinsed after the needle was sent for inspection.The eligible rate of specimens and the time needed for puncture were summarized,and the clinical value of thyroid fine needle biopsy was summarized.Results The eligible rates of the 22 G Chiba needle and a 22 G syringe needle were 92.3%and 90.6%,respectively,and the average puncture time was(25.1±3.2)seconds and(16.6±2.8)seconds respectively.The complications in the two groups were 3.7%(11/298)and 3.0%(9/298).Conclusion There was no statistically significant difference in the success rate and complications of puncture of thyroid nodules between the two types of needles.However,there were differences in puncture,and the needle puncture of ordinary syringes could reduce the economic burden on patients.