超声引导下甲状腺结节及颈部淋巴结穿刺专家共识(2023版)

Expert consensus on ultrasound guided thyroid and neck lymph node puncture(2023 edition)

甲状腺结节及颈部淋巴结穿刺活检是临床中评估病情和确定后续治疗方案的主要方法。目前针对甲状腺结节穿刺的相关文献主要集中在甲状腺细针穿刺,对于甲状腺相关疾病的粗针穿刺及与甲状腺相关颈部淋巴结疾病穿刺活检的系统性指南较为缺乏,无法体现粗针穿刺在甲状腺及颈部淋巴结相关疾病中的诊断价值。现阶段,国内许多医院的不同科室都在开展或拟开展甲状腺结节及颈部淋巴结相关疾病的穿刺活检工作,为提高相关操作的规范性和安全性,需要对甲状腺结节及颈部淋巴结穿刺的适应证、禁忌证、围手术期、术后并发症处理、穿刺标本处理、相关基因分析等多方面问题进行规范。为此,中国医师协会介入医师分会超声介入专业委员会组织国内部分甲状腺疾病相关领域的专家,依据最新研究进展并结合我国临床实际情况讨论并制定本共识,现予以发布。

Thyroid nodule and cervical lymph node biopsy is the main clinical method for evaluating the condition and determining the follow-up treatment plan.The literature on thyroid nodule puncture predominantly focuses on thyroid fine needle puncture,and there are limited systematic articles on coarse needle aspiration for thyroid-related diseases and needle biopsy of thyroid-related cervical lymph node diseases.However,this shortage of articles does not reflect the diagnostic value of coarse needle aspiration in thyroid biopsy and cervical lymph node-related diseases.Currently,different departments of many hospitals in China are conducting or planning to perform needle biopsy of thyroid and cervical lymph node-related diseases to improve the standardization and safety of related operations.Standardization is needed for the indications,contraindications,perioperative period,postoperative complications management,puncture specimen processing,and related genetic analysis of thyroid and cervical lymph node puncture.For this purpose,Interventional Ultrasound Committee of Chinese College of Interventionalists organized a panel of domestic experts in the field of thyroid diseases to discuss and formulate a consensus.Based on the latest research progress,combined with the clinical realities in China,this Expert Consensus on Ultrasound Guided Thyroid and Neck Lymph Node Puncture(2023 edition)is released.