Original Article
Analysis of influencing factors on satisfaction of fine needle biopsy specimens of thyroid nodules
Zheng Nan, Chen Qiaozhu, Chen Jiehuan, Liu Yingpei, He Shumei, Lu Xiaomei
Published 2021-11-20
Cite as J Chin Physician, 2021, 23(11): 1660-1662,1667. DOI: 10.3760/cma.j.cn431274-20210517-00552
Abstract
ObjectiveTo explore the influencing factors of satisfaction with thyroid nodule fine needle biopsy (FNA).
MethodsThe ultrasonic images of 88 patients with thyroid nodules (95 nodules) in Dongguan Binhai Bay Central Hospital from September 2016 to January 2019 were analyzed retrospectively. According to Bethesda cytological classification standard, Bethesda class Ⅰ cytological specimens were defined as unsatisfactory, and Bethesda class Ⅱ-Ⅵ cytological specimens were defined as satisfactory. The thyroid nodule location, composition, internal echo, morphology, aspect ratio, calcification, blood supply mode and American College of Radiology Thyroid Imaging Reporting and Data System(ACR TI-RADS) classification on the satisfaction rate of thyroid nodule FNA samples were evaluated, and then the meaningful influencing factors were analyzed by logistic regression.
ResultsThe overall satisfaction of the sample in this study was 84.2% (80/95). The results of univariate analysis showed that the location, aspect ratio and ACR TI-RADS classification of thyroid nodules were the related factors affecting the satisfaction of FNA specimens of thyroid nodules, with statistically significant difference (P<0.05). Logistic regression analysis showed that the aspect ratio of thyroid nodules was an independent factor affecting the satisfaction of FNA specimens of thyroid nodules (OR=13.5, P=0.02).
ConclusionsThe main factor affecting the satisfaction rate of FNA specimens of thyroid nodules may lie in the characteristics of the aspect ratio of the nodules themselves. Optimizing the puncture route may help to reduce the dissatisfaction rate of FNA specimens of thyroid nodules.
Key words:
Thyroid nodule; Biopsy, fine-needle; Influencing factors
Contributor Information
Zheng Nan
Department of Ultrasound, Dongguan Binhai Bay Central Hospital, Dongguan 523905, China
Chen Qiaozhu
Department of Ultrasound, Dongguan Binhai Bay Central Hospital, Dongguan 523905, China
Chen Jiehuan
Department of Ultrasound, Dongguan Binhai Bay Central Hospital, Dongguan 523905, China
Liu Yingpei
Department of Ultrasound, Dongguan Binhai Bay Central Hospital, Dongguan 523905, China
He Shumei
Department of Ultrasound, Dongguan Binhai Bay Central Hospital, Dongguan 523905, China
Lu Xiaomei
Department of Ultrasound, Dongguan Binhai Bay Central Hospital, Dongguan 523905, China
