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

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11.	李立科, 张慧, 李东风. 超声引导粗针活检技术在甲状腺结节诊断中的应用 50 例分析. 中国误诊学杂志, 2011, 11(9): 2204-2205.
12.	吴海翔, 杜心芳. 甲状腺肿块行粗针活检术的护理配合. 护理与康复, 2009, 8(4): 291-292.
13.	赵重. 经胸乳入路腔镜甲状腺手术的护理. 护理学杂志, 2006, 21(4): 32-33.
14.	黄应德, 李念, 陈相军, 等. 某院实施甲状腺癌临床路径基本情况及效果评价. 华西医学, 2016, 31(6): 1127-1129.
15.	张元林, 白雅芝, 何河, 等. 超声引导穿刺活检技术在甲状腺疾病诊断中的应用价值. 西北国防医学杂志, 2010, 31(5): 363-364.

1. 高明. 国内甲状腺癌的临床关注焦点与现状分析. 中国肿瘤临床, 2010, 37(16): 901-904.
2. 张雪鹏, 马琳, 赵光明, 等. 彩超引导下粗针穿刺组织学活检对甲状腺结节的诊断价值. 中华普通外科杂志, 2004, 19(8): 505.
3. 董宝玮, 梁萍, 于晓玲, 等. 超声引导粗针与细针穿刺活检比较. 中华超声影像学杂志, 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. 马步云, 卢强, 周琛云, 等. 甲状腺微小癌的超声诊断及分析. 中国临床医学影像杂志, 2006, 17(增刊): 6-7.
6. 付显华, 叶雪微, 吕夕明. 26 例超声引导下占位性病变自动活检枪穿刺活检术的护理. 天津护理, 2006, 14(4): 197.
7. 饶静云, 梁雪贞, 殷艳冰, 等. 甲状腺手术患者术前访视方法的改进. 护理学杂志, 2008, 23(24): 14-15.
8. 梁丽, 彭玉兰, Sundar PS, 等. 超声引导下乳腺肿瘤穿刺活检术的护理配合流程. 护士进修杂志, 2013, 28(5): 448-449.
9. 黄益琼, 王丹丹. 腔镜甲状腺切除患者围术期护理. 护理学杂志, 2006, 21(14): 43-44.
10. 魏小丽, 于晓玲, 郝晓云, 等. 甲状腺结节超声引导下穿刺活检的临床价值. 军医进修学院学报, 2012, 33(5): 473-475.
11. 李立科, 张慧, 李东风. 超声引导粗针活检技术在甲状腺结节诊断中的应用 50 例分析. 中国误诊学杂志, 2011, 11(9): 2204-2205.
12. 吴海翔, 杜心芳. 甲状腺肿块行粗针活检术的护理配合. 护理与康复, 2009, 8(4): 291-292.
13. 赵重. 经胸乳入路腔镜甲状腺手术的护理. 护理学杂志, 2006, 21(4): 32-33.
14. 黄应德, 李念, 陈相军, 等. 某院实施甲状腺癌临床路径基本情况及效果评价. 华西医学, 2016, 31(6): 1127-1129.
15. 张元林, 白雅芝, 何河, 等. 超声引导穿刺活检技术在甲状腺疾病诊断中的应用价值. 西北国防医学杂志, 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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