Complications after fine-needle aspiration cytology: a retrospective study of 7449 consecutive thyroid nodules
Complications after fine-needle aspiration cytology: a retrospective study of 7449 consecutive thyroid nodules
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DOI：
10.1016/j.bjoms.2016.11.321
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发表时间：
2017-04-01
影响因子：
1.8
通讯作者：
Castellano, M.
中科院分区：
文献类型：
--
作者：
Cappelli, C.;Pirola, I.;Castellano, M.
甲状腺结节细针穿刺细胞学检查虽有创伤性，但操作简便、可靠、安全，且患者易于接受。局部疼痛和轻微血肿是最常见的并发症，严重的是罕见的。我们报告了2007年1月至2016年3月在我们机构治疗的6323例患者（5121例女性和1202例男性）中7449个甲状腺结节的超声引导下FNA相关并发症。我们回顾了他们的医疗和影像学记录，并记录了并发症的数量和类型，发现时间，恢复时间，管理和永久性后果。10名患者（0.15%）出现并发症，其中包括一名年轻患者的局灶性颈动脉壁内血肿，沿颈动脉壁沿着7 cm，以及一例肿瘤种植。没有并发症造成永久性问题。本系列研究表明，超声引导下甲状腺病变的细针穿刺是安全的，并发症少。然而，医生在手术前应始终考虑每位患者的风险和益处。(C)2016由Elsevier Ltd代表英国口腔颌面外科医生协会发布。
Although fine-needle aspiration (FNA) cytology of thyroid nodules is invasive, it is simple, reliable, safe, and well-accepted by patients. Local pain and minor haematomas are the most common complications, and serious ones are rare. We report the complications associated with ultrasound-guided FNA of 7449 thyroid nodules in a series of 6323 patients (5121 women and 1202 men) treated between January 2007 and March 2016 at our institution. We reviewed their medical and imaging records, and recorded the number and type of complications, time of detection, time to recovery, management, and permanent consequences. Ten patients (0.15%) had complications, which included a focal carotid intramural haematoma that spread along the carotid wall for 7 cm in a young patient, and one case of tumour seeding. No complications caused permanent problems. This series shows that ultrasound-guided FNA of thyroid lesions is safe and has few complications. However, physicians should always consider the risks and benefits for each patient before the procedure. (C) 2016 Published by Elsevier Ltd on behalf of The British Association of Oral and Maxillofacial Surgeons.