[Expert consensus on ultrasound guided thyroid and neck lymph node puncture (2023 edition)].

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Abstract

Thyroid nodule and cervical lymph node biopsy is the main clinical method for evaluating the condition and determining the follow-up treatment plan. The literature on thyroid nodule puncture predominantly focuses on thyroid fine needle puncture, and there are limited systematic articles on coarse needle aspiration for thyroid-related diseases and needle biopsy of thyroid-related cervical lymph node diseases. However, this shortage of articles does not reflect the diagnostic value of coarse needle aspiration in thyroid biopsy and cervical lymph node-related diseases. Currently, different departments of many hospitals in China are conducting or planning to perform needle biopsy of thyroid and cervical lymph node-related diseases to improve the standardization and safety of related operations. Standardization is needed for the indications, contraindications, perioperative period, postoperative complications management, puncture specimen processing, and related genetic analysis of thyroid and cervical lymph node puncture. For this purpose, Interventional Ultrasound Committee of Chinese College of Interventionalists organized a panel of domestic experts in the field of thyroid diseases to discuss and formulate a consensus. Based on the latest research progress, combined with the clinical realities in China, this Expert Consensus on Ultrasound Guided Thyroid and Neck Lymph Node Puncture (2023 edition) is released.

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[超声引导下甲状腺和颈部淋巴结穿刺专家共识(2023 年版)]。
甲状腺结节和颈淋巴结活检是评估病情和确定后续治疗方案的主要临床方法。关于甲状腺结节穿刺的文献主要集中在甲状腺细针穿刺方面,而关于甲状腺相关疾病的粗针穿刺和甲状腺相关颈淋巴结疾病的针刺活检的系统性文章非常有限。然而,这些文章的缺乏并不能反映粗针穿刺在甲状腺活检和颈淋巴结相关疾病中的诊断价值。目前,国内多家医院的不同科室正在开展或计划开展甲状腺及颈淋巴结相关疾病的针穿活检,以提高相关操作的规范性和安全性。甲状腺和颈淋巴结穿刺术的适应症、禁忌症、围手术期、术后并发症处理、穿刺标本处理、相关基因分析等都需要标准化。为此,中国介入医师学会介入超声专业委员会组织国内甲状腺疾病领域专家进行讨论,并形成共识。根据最新研究进展,结合我国临床实际情况,特发布《超声引导下甲状腺及颈淋巴结穿刺专家共识(2023年版)》。
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