中国实用外科杂志

• 普通外科进展(2000-2020) • 上一篇    下一篇

我国甲状腺结节细针穿刺活检技术应用现状及进展

李长霖,周    乐,孙    辉   

  1. 吉林大学中日联谊医院甲状腺外科  吉林省外科转化医学重点实验室  吉林省甲状腺疾病防治工程实验室,吉林长春130033
  • 出版日期:2020-02-01 发布日期:2020-02-14

  • Online:2020-02-01 Published:2020-02-14

摘要: 细针穿刺活检(FNAB)作为甲状腺结节诊断的新技术,以其高敏感度和高特异度被国内外医疗工作者广泛认可。我国FNAB技术起步相对较晚,各地技术掌握水平参差不齐。纵观近10年甲状腺结节FNAB临床报道发现,我国FNAB发展具有迅猛发展、热点层出的特征,然而,在临床指征把握、穿刺取材以及结果判读上仍存在良莠不齐、有待规范等问题。因此,严格把握穿刺指征、获取满意穿刺标本和准确判读穿刺结果有助于FNAB质量控制措施的全面施行,推进甲状腺疾病迈向精准医疗时代。

关键词: 甲状腺结节, 细针穿刺活检

Abstract: Status and progress of fine needle aspiration biopsy for thyroid nodules in China        LI Chang-lin, ZHOU Le, SUN Hui. Department of Thyroid Surgery, China-Japan Union Hospital of Jilin University; Jilin Provincial Key Laboratory of Surgical Translational Medicine; Jilin Provincial Engineering Laboratory of Thyroid Disease Prevention and Control, Changchun 130033,  China
Corresponding author: SUN Hui , E-mail: thyroidjl@163.com
Abstract    Fine needle aspiration biopsy (FNAB), as a new technique for the diagnosis of thyroid nodules, is widely recognized by medical workers for high sensitivity and high specificity. In China, FNAB started relatively late, and the level of technological was uneven. In the past 10 years of clinical reports of FNAB, it has been found that the development of FNAB in China has been characterized with rapidly developing and constantly emerging hot spots. However, there are still problems, such as clinical indications, specimen acquisition and interpretation of results, which need to be standardized. Therefore, strictly grasping the FNAB indications, obtaining satisfactory specimens and accurately interpreting the results will help the full implementation of FNAB quality control measures, and promote the thyroid disease to the era of precision medicine.

Key words: thyroid nodules, fine needle aspiration biopsy