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Substernal Thyroid Biopsy Using Endobronchial Ultrasound-guided Transbronchial Needle Aspiration
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甲状腺美国指导的FNA技术:一个前性,随机对照性研究.

Sarah Cohn1, Raed Farhat2, Nidal El Khatib2

  • 1Bar-Ilan University's Azrieli Faculty of Medicine, Safed, Israel.

American journal of otolaryngology
|April 23, 2024
PubMed
概括
此摘要是机器生成的。

与短轴方法相比,用于甲状腺结节的超声引导细针吸收细胞学 (US FNAC) 的长轴方法不会产生较少的非诊断结果. 这两种方法都显示出不确的样本率相似.

关键词:
长轴技术 长轴技术 长轴技术短轴技术 短轴技术 短轴技术甲状腺结节 甲状腺结节超声导向细针吸入细胞学超声导向细针吸入细胞学

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科学领域:

  • 内分泌学 在内分泌学.
  • 放射学 放射学是一门学科.
  • 细胞病理学 细胞病理学

背景情况:

  • 甲状腺结节在一般人群中非常普遍.
  • 超声波是甲状腺结节评估的主要成像方法.
  • 超声导向细针吸收细胞学 (US FNAC) 对于诊断甲状腺结节至关重要.

研究的目的:

  • 为了比较长轴 (平行) 与短轴 (垂直) 方法的诊断产量,在美国FNAC.
  • 为了确定一个技术是否导致非诊断样本的百分比较低.

主要方法:

  • 一项前性随机对照试验,涉及245个甲状腺结节.
  • 患者接受了美国FNAC,使用长轴或短轴针插入技术.
  • 收集的数据包括患者的人口统计和结节特征.

主要成果:

  • 使用长轴方法采样了122个节点,使用短轴方法采样了123个节点.
  • 非诊断结果的比例为长轴的11.5%,短轴的16.3%.
  • 两种方法之间的非诊断率没有统计学上显著的差异.

结论:

  • 美国FNAC的长轴方法不会比短轴方法产生更具决定性的结果或更少的非诊断样本 (贝塞斯达类别1).
  • 这些发现与之前的一些研究相矛盾,这些研究表明长轴方法的性能更好.
  • 这项研究是由两种技术专家的单一医生进行的.