在良性头部和部瘤中,细针吸收细胞学和核心针活检后的并发症
Alfonso Rodriguez-Urzay1, Maria Landa-Garmendia1, Jon Alexander Sistiaga-Suarez2
1Servicio de Otorrinolaringología - Cirugía de Cabeza y Cuello, Hospital Universitario Donostia, San Sebastián, Guipúzcoa, Spain.
Acta otorrinolaringologica espanola
|September 28, 2024
概括
精细针吸入细胞学 (FNAC) 和核心针活检 (CNB) 是头结块的安全诊断工具. 虽然并发症很少见 (4.7%),但医生应该保持意识到潜在的风险,特别是特定的囊类型.
科学领域:
- 头部和部手术 头部和部手术
- 诊断成像 诊断成像 诊断成像
- 病理学 病理学 病理学
背景情况:
- 良性部质量在头部和部诊所中很常见,需要精确的诊断程序.
- 精细针吸入细胞学 (FNAC) 和核心针活检 (CNB) 是评估部块的主要方法.
- 以图像为指导的活检用于诊断,分期和治疗计划,可能避免手术.
研究的目的:
- 评估超声波引导的FNAC和CNB对良性头疾病的安全性和并发症率.
- 确定影响这些程序中并发症发生率的因素.
主要方法:
- 对那些接受超声导向FNAC或CNB的患者的前性数据的回顾性分析.
- 学习期:2016年6月至2021年6月,在高等大学医院.
- 纳入标准:患有良性头部和部疾病的患者 (例如唾液腺瘤,囊,脂瘤).
主要成果:
- 包括192名患者;4.7%经历并发症,最常见的是感染.
- 经过FNAC治疗的分支裂囊的并发症风险显著增加 (p=0.028).
- 在并发症风险和使用的技术类型 (FNAC与CNB) 之间没有发现显著的关联.
结论:
- 超声导向的FNAC和CNB通常是安全可靠的,用于诊断头部和部块.
- 医生必须意识到潜在的风险,特别是在特定的患者群体,如那些有分支裂囊.
- 该研究强调了这些微创诊断程序在头部和部瘤学中的持续实用性.
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