Rausch P, Nowels K, Jeffrey R B
Department of Pathology, Stanford University School of Medicine, California 94305-5105, USA.
J Ultrasound Med. 2001 Jan;20(1):79-85. doi: 10.7863/jum.2001.20.1.79.
We describe our technique for ultrasonographically guided fine-needle aspiration biopsy of the thyroid that achieves a high rate of diagnostic specimens. Indications for ultrasonographically guided fine-needle aspiration biopsy included a difficult-to-palpate thyroid nodule and previously unsuccessful palpation-guided fine-needle aspiration. Ultrasonographically guided fine-needle aspiration biopsy was performed on 316 thyroid nodules in 306 patients. Adequate cytologic specimens were obtained in 97.2% of the nodules in which biopsy was performed, with a 2.8% rate of inadequate cellularity. Two helpful aspects of this technique that were thought to improve the overall diagnostic yield were the use of color and power Doppler "vascular mapping" of the nodule just before biopsy and on-site cytologic control.
我们描述了一种超声引导下甲状腺细针穿刺活检技术，该技术可获得高比例的诊断标本。超声引导下细针穿刺活检的适应证包括触诊困难的甲状腺结节以及之前触诊引导下细针穿刺未成功的情况。对306例患者的316个甲状腺结节进行了超声引导下细针穿刺活检。在进行活检的结节中，97.2%获得了足够的细胞学标本，细胞数量不足的比例为2.8%。该技术被认为有助于提高总体诊断率的两个有益方面是在活检前对结节进行彩色和能量多普勒“血管造影”以及现场细胞学检查。
