The nursing cooperation in ultrasonography-guided core-needle biopsy of thyroid nodules_West China Medical Journal

Authors：

LIANG Li ¹ ,  MA Buyun ¹ , ZHAO Lihong ² , ZHANG Qiong ¹ , XIANG Lijuan ³ , ZHOU Jiehong ¹

1. Department of Ultrasonic Diagnosis, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China;
2. Department of Radiology, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China;
3. Wound Therapy Center, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China;

Corresponding?author：

MA Buyun, Email: ws_mby@126.com

Keywords：

Thyroid nodule; Ultrasonography-guided; Core-needle biopsy; Nursing cooperation

DOI：

10.7507/1002-0179.201505032

Video：

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Objective To discuss the nursing measures for thyroid nodule patients who undergo core-needle biopsy (CNB) guided by ultrasound. Methods We retrospectively analyzed the experiences and main points of nursing for 1 900 thyroid nodule patients who underwent CNB guided by ultrasound between June 2010 and May 2014. Results All the 1 900 patients underwent CNB successfully. The nursing time was between 5 and 15 minutes, averaging (8.0±3.7) minutes. Complications included hematoma in 25 patients (1.3%) and needle syncope reaction in 30 patients (1.6%), which were cured through symptomatic treatment. No complications such as nerve injury, anesthesia accident or death occurred. No medical disputes happened due to specimen errors or loss. The success rate of specimen collection was 98.4% (1 870/1 900), and the diagnostic accuracy was 95.3% (1 812/1 900). Conclusions Ultrasonography-guided CNB is a safe and reliable operation with a high success rate, high diagnosis accuracy and few complications. Being familiar with the process of nursing cooperation and correct disposal and transfer of biopsy specimens are crucial for successful CNB in patients with thyroid nodules.

Citation： LiangLi, MaBuYun, ZhaoLiHong, ZhangQiong, XiangLiJuan, ZhouJieHong. The nursing cooperation in ultrasonography-guided core-needle biopsy of thyroid nodules. West China Medical Journal, 2017, 32(2): 233-236. doi: 10.7507/1002-0179.201505032 Copy

1.	?高明. 國內甲狀腺癌的臨床關注焦點與現狀分析. 中國腫瘤臨床, 2010, 37(16): 901-904.
2.	張雪鵬, 馬琳, 趙光明, 等. 彩超引導下粗針穿刺組織學活檢對甲狀腺結節的診斷價值. 中華普通外科雜志, 2004, 19(8): 505.
3.	董寶瑋, 梁萍, 于曉玲, 等. 超聲引導粗針與細針穿刺活檢比較. 中華超聲影像學雜志, 2000, 9(2): 71-73.
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5.	馬步云, 盧強, 周琛云, 等. 甲狀腺微小癌的超聲診斷及分析. 中國臨床醫學影像雜志, 2006, 17(增刊): 6-7.
6.	付顯華, 葉雪微, 呂夕明. 26 例超聲引導下占位性病變自動活檢槍穿刺活檢術的護理. 天津護理, 2006, 14(4): 197.
7.	饒靜云, 梁雪貞, 殷艷冰, 等. 甲狀腺手術患者術前訪視方法的改進. 護理學雜志, 2008, 23(24): 14-15.
8.	梁麗, 彭玉蘭, Sundar PS, 等. 超聲引導下乳腺腫瘤穿刺活檢術的護理配合流程. 護士進修雜志, 2013, 28(5): 448-449.
9.	黃益瓊, 王丹丹. 腔鏡甲狀腺切除患者圍術期護理. 護理學雜志, 2006, 21(14): 43-44.
10.	魏小麗, 于曉玲, 郝曉云, 等. 甲狀腺結節超聲引導下穿刺活檢的臨床價值. 軍醫進修學院學報, 2012, 33(5): 473-475.
11.	李立科, 張慧, 李東風. 超聲引導粗針活檢技術在甲狀腺結節診斷中的應用 50 例分析. 中國誤診學雜志, 2011, 11(9): 2204-2205.
12.	吳海翔, 杜心芳. 甲狀腺腫塊行粗針活檢術的護理配合. 護理與康復, 2009, 8(4): 291-292.
13.	趙重. 經胸乳入路腔鏡甲狀腺手術的護理. 護理學雜志, 2006, 21(4): 32-33.
14.	黃應德, 李念, 陳相軍, 等. 某院實施甲狀腺癌臨床路徑基本情況及效果評價. 華西醫學, 2016, 31(6): 1127-1129.
15.	張元林, 白雅芝, 何河, 等. 超聲引導穿刺活檢技術在甲狀腺疾病診斷中的應用價值. 西北國防醫學雜志, 2010, 31(5): 363-364.

1. ?高明. 國內甲狀腺癌的臨床關注焦點與現狀分析. 中國腫瘤臨床, 2010, 37(16): 901-904.
2. 張雪鵬, 馬琳, 趙光明, 等. 彩超引導下粗針穿刺組織學活檢對甲狀腺結節的診斷價值. 中華普通外科雜志, 2004, 19(8): 505.
3. 董寶瑋, 梁萍, 于曉玲, 等. 超聲引導粗針與細針穿刺活檢比較. 中華超聲影像學雜志, 2000, 9(2): 71-73.
4. American Thyroid Association (ATA) Guidelines Taskforce on Thyroid Nodules and Differentiated Thyroid Cancer, Cooper DS, Doherty GM,et al. Revised American Thyroid Association management guidelines for patients with thyroid nodules anddifferentiated thyroid cancer. Thyroid, 2009, 19(11): 1167-1214.
5. 馬步云, 盧強, 周琛云, 等. 甲狀腺微小癌的超聲診斷及分析. 中國臨床醫學影像雜志, 2006, 17(增刊): 6-7.
6. 付顯華, 葉雪微, 呂夕明. 26 例超聲引導下占位性病變自動活檢槍穿刺活檢術的護理. 天津護理, 2006, 14(4): 197.
7. 饒靜云, 梁雪貞, 殷艷冰, 等. 甲狀腺手術患者術前訪視方法的改進. 護理學雜志, 2008, 23(24): 14-15.
8. 梁麗, 彭玉蘭, Sundar PS, 等. 超聲引導下乳腺腫瘤穿刺活檢術的護理配合流程. 護士進修雜志, 2013, 28(5): 448-449.
9. 黃益瓊, 王丹丹. 腔鏡甲狀腺切除患者圍術期護理. 護理學雜志, 2006, 21(14): 43-44.
10. 魏小麗, 于曉玲, 郝曉云, 等. 甲狀腺結節超聲引導下穿刺活檢的臨床價值. 軍醫進修學院學報, 2012, 33(5): 473-475.
11. 李立科, 張慧, 李東風. 超聲引導粗針活檢技術在甲狀腺結節診斷中的應用 50 例分析. 中國誤診學雜志, 2011, 11(9): 2204-2205.
12. 吳海翔, 杜心芳. 甲狀腺腫塊行粗針活檢術的護理配合. 護理與康復, 2009, 8(4): 291-292.
13. 趙重. 經胸乳入路腔鏡甲狀腺手術的護理. 護理學雜志, 2006, 21(4): 32-33.
14. 黃應德, 李念, 陳相軍, 等. 某院實施甲狀腺癌臨床路徑基本情況及效果評價. 華西醫學, 2016, 31(6): 1127-1129.
15. 張元林, 白雅芝, 何河, 等. 超聲引導穿刺活檢技術在甲狀腺疾病診斷中的應用價值. 西北國防醫學雜志, 2010, 31(5): 363-364.

West China Medical Journal

The nursing cooperation in ultrasonography-guided core-needle biopsy of thyroid nodules

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