Application of sonic division assisted technique in fine-needle aspiration biopsy of suspicious thyroid microcarcinoma

doi:10.3877/cma.j.issn.2095-5782.2021.04.013

Abstract

Abstract:

Objective

To evaluate the clinical value of sonic division assisted technique in fine needle aspiration biopsy (FNAB) of suspicious papillary thyroid microcarcinoma.

Methods

Patients with suspected papillary thyroid microcarcinoma were divided into control group and experimental group. The control group adopted the in-plane puncture method with bare hands, and the experimental group adopted the non-co-planar puncture method with rubber band sonic division assisted positioning technology. The puncture time, frequency, inadequate diagnostic rate, malignant coincidence rate, and complication rate were compared between the two groups.

Results

There were 60 nodules in 58 cases in the control group and 64 nodules in 58 cases in the experimental group. There were no significant differences in single puncture time, inadequate diagnostic rate, malignant coincidence rate, and complication rate between the two groups (P > 0.05), while the experimental group was less than the control group in the frequency and total time of puncture, and the difference was statistically significant (P < 0.05).

Conclusions

Sonic division assisted non-coplanar puncture is an important supplement to FNAB of thyroid nodules, which can increase the success rate of puncture and shorten the total puncture time.

Key words: Thyroid nodule, Biopsy, Fine-needle, Ultrasonic guidance, Assistant position

Jianzhong Xian, Yuhong Lin, Wuzhu Lu, Dong Jiang, Zhongzhen Su. Application of sonic division assisted technique in fine-needle aspiration biopsy of suspicious thyroid microcarcinoma[J]. Chinese Journal of Interventional Radiology(Electronic Edition), 2021, 09(04): 419-422,428.

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References 14

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组别	性别（例）		年龄（岁）	FT3（pmol/L）	FT4（pmol/L）	TSH（mIU/L）	结节距体表距离（mm）	结节最大径（mm）	结节囊实性（个）
组别	男	女	年龄（岁）	FT3（pmol/L）	FT4（pmol/L）	TSH（mIU/L）	结节距体表距离（mm）	结节最大径（mm）	实性	囊实性
A1组	5	53	46.02±6.11	4.59±0.88	15.60±1.79	1.33±0.24	30.68±3.25	8.65±2.26	48	12
A2组	6	52	47.21±6.33	4.18±0.67	16.21±1.66	1.50±0.22	31.02±4.11	8.52±2.18	50	14
P值	0.992		0.865	0.926	0.919	0.940	0.812	0.887	0.851

组别	性别（例）		年龄（岁）	FT3（pmol/L）	FT4（pmol/L）	TSH（mIU/L）	结节距体表距离（mm）	结节最大径（mm）	结节囊实性（个）
组别	男	女	年龄（岁）	FT3（pmol/L）	FT4（pmol/L）	TSH（mIU/L）	结节距体表距离（mm）	结节最大径（mm）	实性	囊实性
A1组	5	53	46.02±6.11	4.59±0.88	15.60±1.79	1.33±0.24	30.68±3.25	8.65±2.26	48	12
A2组	6	52	47.21±6.33	4.18±0.67	16.21±1.66	1.50±0.22	31.02±4.11	8.52±2.18	50	14
P值	0.992		0.865	0.926	0.919	0.940	0.812	0.887	0.851

组别	单次穿刺时间（s）	穿刺次数	总穿刺时间（s）	无法诊断结节	可以诊断结节	无法诊断率（%）	恶性符合率（%）	并发症发生率（%）
对照组	20.95 ± 2.40	2.88 ± 0.76	60.35 ± 16.99	9	51	15.0（9/60）	100（48/48）	1.7（1/58）
实验组	20.34 ± 1.82	2.61 ± 0.61	50.91 ± 12.18	8	56	12.5（8/64）	100（51/51）	1.7（1/58）
χ²/t值	1.590	2.220	3.570	-	-	0.164	-	-
P值	0.110	0.028	0.001	-	-	0.686	-	-

组别	单次穿刺时间（s）	穿刺次数	总穿刺时间（s）	无法诊断结节	可以诊断结节	无法诊断率（%）	恶性符合率（%）	并发症发生率（%）
对照组	20.95 ± 2.40	2.88 ± 0.76	60.35 ± 16.99	9	51	15.0（9/60）	100（48/48）	1.7（1/58）
实验组	20.34 ± 1.82	2.61 ± 0.61	50.91 ± 12.18	8	56	12.5（8/64）	100（51/51）	1.7（1/58）
χ²/t值	1.590	2.220	3.570	-	-	0.164	-	-
P值	0.110	0.028	0.001	-	-	0.686	-	-

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